NPI: 1295807642 · SHREVEPORT, LA 71106 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,784 | $450K |
| 2019 | 13,410 | $430K |
| 2020 | 11,565 | $341K |
| 2021 | 12,776 | $365K |
| 2022 | 10,851 | $310K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 7,879 | 7,606 | $575K | |
| 92004 | 4,817 | 4,624 | $421K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 10,239 | 8,474 | $253K |
| V2020 | Vision svcs frames purchases | 15,262 | 14,680 | $239K |
| 99211 | 9,528 | 9,136 | $127K | |
| V2100 | Lens spher single plano 4.00 | 3,762 | 3,466 | $93K |
| 92015 | 6,616 | 6,438 | $57K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 365 | 338 | $27K |
| V2799 | Misc vision item or service | 1,653 | 1,630 | $27K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,057 | 939 | $20K |
| 92340 | 1,079 | 1,064 | $16K | |
| 99213 | 277 | 244 | $11K | |
| V2107 | Spherocylinder 4.25d/12-2d | 426 | 379 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 100 | 99 | $8K |
| V2784 | Lens polycarb or equal | 135 | 129 | $5K |
| 92250 | 147 | 142 | $5K | |
| 92310 | 19 | 16 | $1K | |
| 92133 | 13 | 12 | $299.04 | |
| 1036F | 12 | 12 | $0.00 |