NPI: 1184611766 · NORMAL, IL 61761 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,784 | $103K |
| 2019 | 5,773 | $134K |
| 2020 | 5,150 | $125K |
| 2021 | 6,522 | $156K |
| 2022 | 2,827 | $67K |
| 2023 | 3,042 | $72K |
| 2024 | 119 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,488 | 3,238 | $150K | |
| 92015 | 6,551 | 6,036 | $117K | |
| 92004 | 2,502 | 2,274 | $113K | |
| 92340 | 3,460 | 3,161 | $100K | |
| V2025 | Eyeglasses delux frames | 1,794 | 1,715 | $52K |
| V2100 | Lens spher single plano 4.00 | 3,410 | 3,122 | $51K |
| V2020 | Vision svcs frames purchases | 2,670 | 2,440 | $21K |
| 92341 | 679 | 647 | $20K | |
| V2784 | Lens polycarb or equal | 2,753 | 2,489 | $19K |
| V2200 | Lens spher bifoc plano 4.00d | 718 | 683 | $15K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 165 | 154 | $2K |
| 99203 | 27 | 27 | $939.46 |