NPI: 1275506628 · PALATKA, FL 32177 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,193 | $40K |
| 2020 | 1,401 | $40K |
| 2021 | 2,722 | $71K |
| 2022 | 1,599 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,243 | 1,155 | $106K | |
| V2020 | Vision svcs frames purchases | 1,537 | 1,431 | $51K |
| 92004 | 497 | 472 | $43K | |
| 99214 | 33 | 30 | $2K | |
| 92015 | 1,813 | 1,697 | $322.12 | |
| 92340 | 1,319 | 1,225 | $216.10 | |
| V2100 | Lens spher single plano 4.00 | 145 | 125 | $169.49 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 30 | 27 | $138.71 |
| 92341 | 30 | 27 | $19.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 856 | 724 | $12.18 |
| 2022F | 105 | 105 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 125 | 125 | $0.00 |
| V2756 | Eye glass case | 57 | 57 | $0.00 |
| 3072F | 68 | 68 | $0.00 | |
| 92342 | 57 | 57 | $0.00 |