NPI: 1295204907 · MEMPHIS, TN 38127 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,459 | $13K |
| 2020 | 3,422 | $25K |
| 2021 | 5,900 | $63K |
| 2022 | 5,930 | $71K |
| 2023 | 5,184 | $65K |
| 2024 | 4,489 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,830 | 2,797 | $113K | |
| 92340 | 5,567 | 5,496 | $100K | |
| 92004 | 973 | 966 | $44K | |
| 92015 | 3,715 | 3,681 | $41K | |
| V2020 | Vision svcs frames purchases | 4,839 | 4,765 | $640.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,561 | 2,522 | $569.00 |
| V2100 | Lens spher single plano 4.00 | 1,258 | 1,231 | $63.00 |
| V2784 | Lens polycarb or equal | 4,374 | 4,307 | $8.00 |
| S0504 | Singl prscrp lens | 23 | 23 | $0.00 |
| V2744 | Tint photochromatic lens/es | 15 | 15 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 138 | 138 | $0.00 |
| V2781 | Progressive lens per lens | 26 | 25 | $0.00 |
| S0516 | Safety frames | 26 | 26 | $0.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 25 | 25 | $0.00 |
| S0590 | Misc integral lens serv | 14 | 14 | $0.00 |