NPI: 1205020864 · SEBASTIAN, FL 32958 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 460 | $0.00 |
| 2022 | 3,378 | $25K |
| 2023 | 5,842 | $130K |
| 2024 | 4,343 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,518 | 1,163 | $107K | |
| 92004 | 855 | 640 | $61K | |
| V2020 | Vision svcs frames purchases | 2,517 | 1,794 | $57K |
| 92015 | 2,536 | 1,875 | $13K | |
| 92340 | 888 | 731 | $12K | |
| V2784 | Lens polycarb or equal | 1,699 | 1,243 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,631 | 1,179 | $5K |
| 3072F | 1,097 | 925 | $3K | |
| V2100 | Lens spher single plano 4.00 | 337 | 235 | $590.03 |
| S9986 | Not medically necessary svc | 945 | 696 | $0.00 |