NPI: 1154328813 · JACKSON, TN 38301 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 876 | $11K |
| 2019 | 1,056 | $15K |
| 2020 | 907 | $16K |
| 2021 | 1,093 | $26K |
| 2022 | 1,627 | $41K |
| 2023 | 2,803 | $61K |
| 2024 | 1,918 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,493 | 2,209 | $47K | |
| 92004 | 473 | 438 | $33K | |
| 66984 | 307 | 174 | $27K | |
| 99213 | 1,565 | 1,175 | $23K | |
| 99214 | 1,352 | 966 | $16K | |
| 92015 | 895 | 785 | $16K | |
| 99204 | 482 | 389 | $14K | |
| 92250 | 573 | 534 | $13K | |
| V2784 | Lens polycarb or equal | 248 | 222 | $9K |
| 92012 | 576 | 476 | $6K | |
| V2020 | Vision svcs frames purchases | 453 | 405 | $4K |
| 92340 | 165 | 150 | $4K | |
| V2100 | Lens spher single plano 4.00 | 124 | 111 | $2K |
| 99203 | 51 | 39 | $2K | |
| 92133 | 141 | 118 | $2K | |
| 92136 | 102 | 53 | $1K | |
| 92134 | 88 | 75 | $670.56 | |
| 92083 | 69 | 51 | $669.52 | |
| 93005 | 101 | 76 | $195.27 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 22 | 13 | $145.50 |