NPI: 1255686283 · DECATUR, TX 76234 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 608 | $16K |
| 2021 | 3,824 | $99K |
| 2022 | 4,072 | $98K |
| 2023 | 4,017 | $95K |
| 2024 | 3,587 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 2,749 | 2,726 | $116K |
| V2100 | Lens spher single plano 4.00 | 4,788 | 4,677 | $97K |
| V2020 | Vision svcs frames purchases | 5,278 | 5,135 | $83K |
| S0620 | Routine ophthalmological exa | 1,644 | 1,631 | $70K |
| V2784 | Lens polycarb or equal | 1,624 | 1,571 | $19K |
| 92014 | 13 | 13 | $438.75 | |
| 92015 | 12 | 12 | $0.00 |