NPI: 1154367951 · YONKERS, NY 10704 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 507 | $21K |
| 2019 | 469 | $25K |
| 2020 | 1,107 | $40K |
| 2021 | 917 | $37K |
| 2022 | 767 | $29K |
| 2023 | 504 | $17K |
| 2024 | 347 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 820 | 815 | $65K | |
| V2020 | Vision svcs frames purchases | 1,370 | 1,354 | $46K |
| 92004 | 549 | 547 | $42K | |
| V2100 | Lens spher single plano 4.00 | 710 | 403 | $15K |
| 92015 | 722 | 717 | $10K | |
| 99243 | 52 | 50 | $4K | |
| 92250 | 15 | 15 | $656.14 | |
| V2784 | Lens polycarb or equal | 362 | 188 | $228.43 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 18 | 14 | $183.24 |