NPI: 1235539255 · MONROE, NY 10950 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,686 | $167K |
| 2019 | 3,828 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92065 | 2,841 | 776 | $66K | |
| 92004 | 982 | 967 | $61K | |
| 92012 | 891 | 832 | $32K | |
| 92014 | 461 | 458 | $24K | |
| 99211 | 1,929 | 513 | $23K | |
| 92060 | 442 | 435 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 609 | 306 | $12K |
| V2100 | Lens spher single plano 4.00 | 274 | 138 | $6K |
| V2020 | Vision svcs frames purchases | 289 | 289 | $4K |
| 92015 | 47 | 44 | $580.64 | |
| 92250 | 13 | 13 | $445.00 | |
| 92225 | 24 | 12 | $326.20 | |
| V2784 | Lens polycarb or equal | 1,712 | 859 | $35.00 |