NPI: 1205822590 · NEWBURGH, NY 12550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 323 | $6K |
| 2019 | 56 | $1K |
| 2020 | 12 | $138.00 |
| 2021 | 43 | $831.00 |
| 2022 | 218 | $4K |
| 2023 | 210 | $4K |
| 2024 | 201 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 547 | 527 | $10K |
| S0621 | Routine ophthalmological exa | 73 | 72 | $2K |
| 92014 | 76 | 76 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 98 | 95 | $2K |
| V2784 | Lens polycarb or equal | 203 | 200 | $2K |
| V2100 | Lens spher single plano 4.00 | 41 | 41 | $1K |
| 92004 | 12 | 12 | $360.00 | |
| 92015 | 13 | 13 | $0.00 |