NPI: 1184637001 · GAINESVILLE, FL 32608 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,603 | $5K |
| 2020 | 326 | $397.94 |
| 2021 | 623 | $10K |
| 2022 | 942 | $2K |
| 2023 | 1,514 | $15.00 |
| 2024 | 1,279 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,403 | 1,196 | $8K |
| 92340 | 1,295 | 1,096 | $3K | |
| 92004 | 374 | 368 | $3K | |
| 92014 | 171 | 168 | $3K | |
| V2100 | Lens spher single plano 4.00 | 1,142 | 928 | $604.02 |
| 92015 | 949 | 916 | $435.00 | |
| 92342 | 251 | 249 | $100.70 | |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 12 | $86.72 |
| 92341 | 13 | 12 | $48.36 | |
| 2022F | 213 | 213 | $0.00 | |
| V2025 | Eyeglasses delux frames | 26 | 26 | $0.00 |
| V2756 | Eye glass case | 249 | 247 | $0.00 |
| 3072F | 133 | 133 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 54 | 27 | $0.00 |