NPI: 1235300161 · PONTOTOC, MS 38863 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 397 | $4K |
| 2019 | 700 | $6K |
| 2020 | 190 | $3K |
| 2021 | 245 | $5K |
| 2022 | 2,145 | $41K |
| 2023 | 3,784 | $79K |
| 2024 | 1,696 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,592 | 1,406 | $41K |
| 92014 | 627 | 582 | $37K | |
| 92015 | 2,291 | 2,038 | $26K | |
| 92012 | 615 | 522 | $25K | |
| 92004 | 234 | 204 | $21K | |
| 92340 | 1,521 | 1,352 | $19K | |
| V2100 | Lens spher single plano 4.00 | 379 | 335 | $10K |
| 1036F | 280 | 269 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 454 | 335 | $6K |
| 92002 | 137 | 109 | $5K | |
| V2784 | Lens polycarb or equal | 139 | 125 | $284.42 |
| 2033F | 84 | 84 | $0.00 | |
| G8732 | No doc of pain | 271 | 261 | $0.00 |
| G8428 | Cur meds not document | 12 | 12 | $0.00 |
| G8785 | Bp scrn no perf at interval | 292 | 283 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 229 | 219 | $0.00 |