NPI: 1275981698 · ALTON, IL 62002 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 150 | $1K |
| 2020 | 869 | $17K |
| 2021 | 1,346 | $24K |
| 2022 | 4,236 | $91K |
| 2023 | 3,756 | $150K |
| 2024 | 1,017 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,404 | 1,388 | $119K | |
| V2020 | Vision svcs frames purchases | 2,343 | 2,214 | $62K |
| 92014 | 1,353 | 1,227 | $56K | |
| V2784 | Lens polycarb or equal | 1,545 | 1,412 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,413 | 1,279 | $16K |
| 92015 | 2,813 | 2,673 | $11K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 302 | 288 | $6K |
| V2100 | Lens spher single plano 4.00 | 188 | 172 | $2K |
| V2025 | Eyeglasses delux frames | 13 | 12 | $0.00 |