NPI: 1295742146 · LAREDO, TX 78041 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,904 | $25K |
| 2019 | 1,386 | $17K |
| 2020 | 1,610 | $45K |
| 2021 | 4,324 | $149K |
| 2022 | 4,196 | $136K |
| 2023 | 3,260 | $108K |
| 2024 | 2,154 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,148 | 3,869 | $140K | |
| S0621 | Routine ophthalmological exa | 2,585 | 2,512 | $103K |
| 99204 | 1,312 | 1,234 | $100K | |
| 92014 | 1,688 | 1,677 | $64K | |
| 92004 | 273 | 258 | $26K | |
| 3072F | 2,420 | 2,375 | $23K | |
| 92012 | 1,609 | 1,429 | $23K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,021 | 999 | $22K |
| V2020 | Vision svcs frames purchases | 1,101 | 1,082 | $19K |
| 99213 | 715 | 626 | $13K | |
| 92250 | 755 | 747 | $9K | |
| S0620 | Routine ophthalmological exa | 183 | 149 | $5K |
| 99490 | Ccm add 20min | 103 | 103 | $984.10 |
| 92228 | 24 | 24 | $363.80 | |
| 92020 | 46 | 46 | $16.56 | |
| 1036F | 395 | 384 | $0.00 | |
| G8397 | Dil macula/fundus exam/w doc | 150 | 149 | $0.00 |
| 5010F | 151 | 150 | $0.00 | |
| 99072 | 155 | 148 | $0.00 |