NPI: 1205415387 · WICHITA, KS 67206 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 245 | $7K |
| 2022 | 27,448 | $678K |
| 2023 | 39,638 | $1.16M |
| 2024 | 16,551 | $522K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 21,652 | 20,156 | $952K |
| 92014 | 8,003 | 7,443 | $451K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 17,296 | 9,360 | $401K |
| 92012 | 6,382 | 6,133 | $278K | |
| 92015 | 27,394 | 25,815 | $142K | |
| 92004 | 867 | 815 | $71K | |
| V2100 | Lens spher single plano 4.00 | 1,192 | 718 | $32K |
| 92002 | 326 | 322 | $15K | |
| 92250 | 222 | 200 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 276 | 161 | $6K |
| 99213 | 132 | 116 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 105 | 58 | $2K |
| 99214 | 35 | 25 | $1K |