NPI: 1295858371 · GARY, IN 46402 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,443 | $35K |
| 2019 | 2,735 | $119K |
| 2020 | 2,602 | $129K |
| 2021 | 1,604 | $77K |
| 2022 | 2,513 | $121K |
| 2023 | 1,448 | $66K |
| 2024 | 302 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,714 | 4,210 | $167K |
| 92014 | 1,367 | 1,215 | $116K | |
| 92004 | 1,060 | 951 | $116K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,187 | 1,018 | $57K |
| 92015 | 3,271 | 2,923 | $47K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 749 | 639 | $43K |
| V2410 | Lens variab asphericity sing | 115 | 91 | $10K |
| V2100 | Lens spher single plano 4.00 | 150 | 135 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 34 | 30 | $2K |