NPI: 1225122963 · BLUEFIELD, WV 24701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,333 | $47K |
| 2019 | 500 | $17K |
| 2020 | 517 | $5K |
| 2021 | 202 | $2K |
| 2022 | 557 | $17K |
| 2023 | 462 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 913 | 845 | $51K | |
| G8427 | Docrev cur meds by elig clin | 787 | 735 | $13K |
| 92004 | 171 | 160 | $12K | |
| 92250 | 407 | 378 | $12K | |
| 1036F | 439 | 408 | $7K | |
| G9903 | Pt scrn tbco id as non user | 373 | 350 | $6K |
| 4004F | 59 | 56 | $2K | |
| V2100 | Lens spher single plano 4.00 | 64 | 57 | $2K |
| V2784 | Lens polycarb or equal | 48 | 44 | $1K |
| G9902 | Pt scrn tbco and id as user | 27 | 26 | $1K |
| V2020 | Vision svcs frames purchases | 35 | 32 | $875.00 |
| 92015 | 209 | 189 | $510.67 | |
| G9905 | No pt tbco scrn rng | 14 | 13 | $429.82 |
| 2022F | 12 | 12 | $406.50 | |
| G2104 | Eye img valid w/7 stereo | 13 | 13 | $0.00 |