NPI: 1174700793 · BUFFALO, NY 14213 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,248 | $67K |
| 2019 | 3,267 | $106K |
| 2020 | 3,458 | $96K |
| 2021 | 4,214 | $121K |
| 2022 | 3,947 | $93K |
| 2023 | 4,307 | $117K |
| 2024 | 2,314 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,155 | 5,067 | $147K |
| V2100 | Lens spher single plano 4.00 | 4,633 | 2,872 | $145K |
| 92004 | 1,965 | 1,955 | $130K | |
| 99204 | 1,301 | 1,291 | $119K | |
| 92014 | 1,503 | 1,486 | $69K | |
| 99214 | 415 | 394 | $28K | |
| V2200 | Lens spher bifoc plano 4.00d | 786 | 404 | $24K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 276 | 138 | $6K |
| 92341 | 234 | 233 | $5K | |
| V2784 | Lens polycarb or equal | 6,333 | 3,157 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 48 | 27 | $2K |
| 92340 | 53 | 53 | $795.00 | |
| 92015 | 27 | 27 | $342.67 | |
| S0580 | Polycarb lens | 13 | 13 | $260.00 |
| 2022F | 13 | 13 | $0.00 |