NPI: 1215414578 · MIDDLESBORO, KY 40965 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 238 | $10K |
| 2021 | 2,314 | $102K |
| 2022 | 1,531 | $70K |
| 2023 | 1,091 | $46K |
| 2024 | 1,688 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,852 | 1,785 | $113K | |
| 92004 | 1,076 | 1,048 | $98K | |
| 92014 | 834 | 816 | $56K | |
| 92015 | 2,536 | 2,460 | $12K | |
| 99213 | 159 | 111 | $4K | |
| 99214 | 64 | 62 | $4K | |
| 99203 | 14 | 12 | $711.36 | |
| 92250 | 12 | 12 | $546.02 | |
| S0516 | Safety frames | 34 | 33 | $543.32 |
| V2020 | Vision svcs frames purchases | 143 | 73 | $532.50 |
| S0504 | Singl prscrp lens | 35 | 34 | $309.14 |
| V2784 | Lens polycarb or equal | 68 | 34 | $118.00 |
| S9999 | Sales tax | 35 | 34 | $86.25 |