NPI: 1265745004 · FAR ROCKAWAY, NY 11691 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,157 | $40K |
| 2019 | 2,249 | $36K |
| 2020 | 1,229 | $21K |
| 2021 | 1,216 | $26K |
| 2022 | 1,488 | $33K |
| 2023 | 1,636 | $39K |
| 2024 | 1,272 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,149 | 4,004 | $76K |
| V2100 | Lens spher single plano 4.00 | 2,183 | 2,148 | $54K |
| 92004 | 1,859 | 1,824 | $53K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 930 | 888 | $19K |
| V2784 | Lens polycarb or equal | 1,310 | 1,243 | $10K |
| 92014 | 249 | 246 | $7K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 141 | 138 | $4K |
| S0620 | Routine ophthalmological exa | 115 | 108 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 40 | 40 | $1K |
| 92015 | 253 | 253 | $0.00 | |
| 92340 | 18 | 14 | $0.00 |