NPI: 1205880168 · MONTGOMERY, OH 45242 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,666 | $233K |
| 2019 | 5,789 | $460K |
| 2020 | 719 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0178 | Aflibercept injection | 138 | 127 | $264K |
| 67028 | 1,266 | 1,131 | $106K | |
| J3590 | Unclassified biologics | 826 | 770 | $69K |
| 99213 | 1,424 | 1,326 | $50K | |
| 92015 | 2,909 | 2,784 | $48K | |
| 99214 | 797 | 766 | $42K | |
| 92014 | 940 | 913 | $37K | |
| 67228 | 53 | 40 | $26K | |
| 92250 | 942 | 899 | $24K | |
| 92134 | 1,436 | 1,358 | $18K | |
| 92004 | 346 | 340 | $15K | |
| 99204 | 191 | 180 | $14K | |
| 92235 | 312 | 296 | $11K | |
| 92133 | 275 | 267 | $3K | |
| V2020 | Vision svcs frames purchases | 125 | 125 | $2K |
| 92083 | 78 | 78 | $2K | |
| 92340 | 104 | 104 | $832.00 | |
| 76514 | 12 | 12 | $68.70 |