NPI: 1306935820 · GREENSBURG, PA 15601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 101 | $3K |
| 2021 | 820 | $21K |
| 2022 | 940 | $25K |
| 2023 | 1,327 | $37K |
| 2024 | 457 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,623 | 1,527 | $48K |
| S0620 | Routine ophthalmological exa | 985 | 942 | $30K |
| V2020 | Vision svcs frames purchases | 225 | 198 | $16K |
| 92310 | 81 | 71 | $3K | |
| V2100 | Lens spher single plano 4.00 | 98 | 87 | $2K |
| V2784 | Lens polycarb or equal | 32 | 25 | $864.51 |
| 92015 | 334 | 291 | $0.00 | |
| 92014 | 12 | 12 | $0.00 | |
| 92250 | 255 | 211 | $0.00 |