NPI: 1306935705 · PANAMA CITY, FL 32405 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 264 | $1K |
| 2022 | 1,844 | $15K |
| 2023 | 2,419 | $27K |
| 2024 | 2,322 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 919 | 894 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 793 | 756 | $18K |
| 92015 | 1,304 | 1,273 | $13K | |
| 99211 | 774 | 756 | $10K | |
| V2020 | Vision svcs frames purchases | 1,141 | 1,048 | $5K |
| V2784 | Lens polycarb or equal | 871 | 819 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 93 | 82 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $187.92 |
| V2100 | Lens spher single plano 4.00 | 15 | 14 | $185.94 |
| 99214 | 849 | 832 | $87.83 | |
| 92012 | 14 | 13 | $45.00 | |
| S0580 | Polycarb lens | 63 | 60 | $0.00 |