NPI: 1194774174 · PEKIN, IL 61554 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 669 | $17K |
| 2019 | 1,069 | $29K |
| 2020 | 1,093 | $28K |
| 2021 | 618 | $16K |
| 2022 | 1,053 | $28K |
| 2023 | 1,915 | $53K |
| 2024 | 1,518 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,187 | 2,056 | $63K | |
| 92014 | 1,507 | 1,404 | $61K | |
| 92015 | 2,868 | 2,727 | $49K | |
| 92004 | 463 | 442 | $20K | |
| 92250 | 321 | 294 | $12K | |
| V2020 | Vision svcs frames purchases | 94 | 93 | $4K |
| 92083 | 130 | 124 | $3K | |
| V2025 | Eyeglasses delux frames | 107 | 99 | $1K |
| 92145 | 192 | 166 | $1K | |
| 99214 | 14 | 12 | $671.53 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 25 | $261.58 |
| 3072F | 26 | 25 | $0.00 |