NPI: 1164518577 · BROOKLYN, NY 11229 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,776 | $89K |
| 2019 | 5,612 | $136K |
| 2020 | 5,557 | $123K |
| 2021 | 5,634 | $130K |
| 2022 | 5,991 | $153K |
| 2023 | 5,028 | $128K |
| 2024 | 3,578 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,996 | 3,972 | $252K | |
| V2020 | Vision svcs frames purchases | 8,015 | 7,860 | $174K |
| 92014 | 4,207 | 4,187 | $168K | |
| V2100 | Lens spher single plano 4.00 | 4,186 | 2,761 | $75K |
| 92340 | 3,478 | 3,418 | $50K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,412 | 2,636 | $40K |
| 92250 | 1,273 | 1,265 | $33K | |
| 92012 | 427 | 422 | $13K | |
| 92341 | 623 | 604 | $12K | |
| V2219 | Lens bifocal seg width over | 141 | 139 | $12K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 419 | 365 | $8K |
| 92015 | 472 | 471 | $6K | |
| 92285 | 274 | 269 | $4K | |
| V2784 | Lens polycarb or equal | 3,166 | 1,576 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 42 | 38 | $971.94 |
| 76512 | 18 | 18 | $669.20 | |
| 76514 | 84 | 84 | $480.85 | |
| S0580 | Polycarb lens | 14 | 14 | $216.00 |
| 2022F | 13 | 13 | $0.00 | |
| 1036F | 916 | 914 | $0.00 |