NPI: 1174555619 · PANAMA CITY, FL 32405 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 30 | $55.15 |
| 2020 | 53 | $289.68 |
| 2021 | 1,110 | $35K |
| 2022 | 5,593 | $138K |
| 2023 | 4,971 | $97K |
| 2024 | 3,434 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,973 | 1,823 | $120K | |
| 92004 | 1,583 | 1,520 | $108K | |
| V2020 | Vision svcs frames purchases | 2,926 | 2,762 | $93K |
| 92015 | 3,127 | 2,910 | $11K | |
| 92340 | 2,248 | 2,104 | $7K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 207 | 154 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,529 | 1,643 | $4K |
| 92012 | 15 | 15 | $892.90 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 144 | 128 | $298.04 |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 14 | $144.04 |
| 92310 | 13 | 12 | $85.00 | |
| V2100 | Lens spher single plano 4.00 | 226 | 171 | $62.18 |
| 92341 | 150 | 144 | $60.00 | |
| V2784 | Lens polycarb or equal | 35 | 35 | $0.00 |