NPI: 1285921387 · BOARDMAN, OH 44512 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $104.15 |
| 2020 | 2,297 | $47K |
| 2021 | 2,605 | $59K |
| 2022 | 4,588 | $97K |
| 2023 | 5,392 | $100K |
| 2024 | 6,385 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,199 | 1,139 | $77K | |
| 92014 | 1,034 | 1,019 | $42K | |
| V2100 | Lens spher single plano 4.00 | 2,364 | 2,164 | $40K |
| V2020 | Vision svcs frames purchases | 3,666 | 3,146 | $39K |
| 92015 | 3,807 | 3,694 | $36K | |
| 83861 | 2,132 | 993 | $34K | |
| 99213 | 725 | 684 | $31K | |
| 92004 | 662 | 651 | $29K | |
| 92340 | 1,037 | 1,022 | $23K | |
| 99204 | 221 | 218 | $18K | |
| V2784 | Lens polycarb or equal | 1,851 | 1,656 | $14K |
| 92285 | 865 | 813 | $14K | |
| 99212 | 441 | 424 | $12K | |
| 92250 | 313 | 304 | $10K | |
| 99203 | 130 | 129 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 407 | 392 | $3K |
| 92310 | 72 | 51 | $2K | |
| 92020 | 160 | 160 | $2K | |
| 68761 | 46 | 17 | $2K | |
| 92133 | 67 | 67 | $1K | |
| 92286 | 26 | 26 | $838.15 | |
| 92341 | 13 | 13 | $322.64 | |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $318.52 |
| 2023F | 26 | 26 | $0.00 |