NPI: 1295872042 · MEADVILLE, PA 16335 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 446 | $17K |
| 2021 | 2,288 | $89K |
| 2022 | 2,677 | $101K |
| 2023 | 2,409 | $91K |
| 2024 | 1,060 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,647 | 2,614 | $161K |
| S0621 | Routine ophthalmological exa | 3,018 | 2,980 | $91K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,883 | 1,866 | $57K |
| V2760 | Scratch resistant coating | 633 | 625 | $7K |
| V2784 | Lens polycarb or equal | 294 | 289 | $5K |
| S0500 | Dispos cont lens | 66 | 65 | $5K |
| V2100 | Lens spher single plano 4.00 | 150 | 150 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 65 | 65 | $2K |
| 92310 | 69 | 67 | $2K | |
| S0620 | Routine ophthalmological exa | 43 | 43 | $1K |
| 99213 | 12 | 12 | $308.00 |