NPI: 1306892971 · RUSHVILLE, IN 46173 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,569 | $57K |
| 2019 | 3,182 | $80K |
| 2020 | 2,052 | $58K |
| 2021 | 2,651 | $70K |
| 2022 | 546 | $15K |
| 2023 | 65 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,805 | 2,472 | $161K | |
| V2020 | Vision svcs frames purchases | 1,899 | 1,673 | $44K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,080 | 688 | $34K |
| 92015 | 2,864 | 2,524 | $31K | |
| V2100 | Lens spher single plano 4.00 | 287 | 261 | $7K |
| V2784 | Lens polycarb or equal | 548 | 284 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 22 | 13 | $850.28 |
| 99213 | 23 | 12 | $407.22 | |
| G8427 | Docrev cur meds by elig clin | 914 | 743 | $0.00 |
| 1036F | 610 | 491 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 13 | 12 | $0.00 |