NPI: 1245430800 · PROVIDENCE, RI 02903 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,003 | $111K |
| 2019 | 987 | $24K |
| 2020 | 1,119 | $27K |
| 2021 | 13,523 | $437K |
| 2022 | 3,086 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 2,050 | 1,993 | $143K | |
| 92015 | 4,061 | 3,907 | $91K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,795 | 1,649 | $79K |
| V2020 | Vision svcs frames purchases | 3,165 | 3,012 | $59K |
| 99213 | 1,216 | 1,126 | $58K | |
| 99204 | 415 | 401 | $49K | |
| 92340 | 2,842 | 2,683 | $48K | |
| 92014 | 821 | 788 | $33K | |
| S0580 | Polycarb lens | 1,555 | 1,450 | $28K |
| 92250 | 804 | 777 | $26K | |
| 92370 | 2,254 | 2,099 | $17K | |
| V2100 | Lens spher single plano 4.00 | 282 | 265 | $11K |
| 92133 | 359 | 346 | $9K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 88 | 87 | $8K |
| 92004 | 150 | 148 | $8K | |
| 92083 | 188 | 181 | $7K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 81 | 80 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 111 | 107 | $6K |
| 92341 | 159 | 153 | $3K | |
| 92342 | 113 | 106 | $2K | |
| V2107 | Spherocylinder 4.25d/12-2d | 24 | 24 | $1K |
| 92202 | 130 | 122 | $990.77 | |
| V2784 | Lens polycarb or equal | 28 | 26 | $576.04 |
| 92145 | 14 | 14 | $92.84 | |
| 99072 | 13 | 13 | $0.00 |