NPI: 1225036197 · ST. HENRY, OH 45883 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,140 | $249K |
| 2019 | 8,982 | $204K |
| 2020 | 7,171 | $162K |
| 2021 | 8,946 | $219K |
| 2022 | 7,725 | $193K |
| 2023 | 3,097 | $80K |
| 2024 | 2,580 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 9,001 | 8,689 | $255K | |
| V2784 | Lens polycarb or equal | 10,104 | 9,776 | $249K |
| V2020 | Vision svcs frames purchases | 10,705 | 10,349 | $226K |
| 92015 | 6,802 | 6,647 | $145K | |
| 92014 | 2,686 | 2,626 | $120K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 6,043 | 5,858 | $106K |
| V2100 | Lens spher single plano 4.00 | 1,927 | 1,872 | $30K |
| 92004 | 373 | 360 | $17K | |
| 92341 | 545 | 529 | $15K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 261 | 257 | $5K |
| 99213 | 42 | 40 | $2K | |
| 99214 | 16 | 16 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 70 | 66 | $984.00 |
| V2303 | Lens sphcy trifocal 4.0/.12- | 13 | 12 | $600.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 38 | 37 | $528.00 |
| 92285 | 15 | 15 | $239.70 |