NPI: 1316037245 · JOHNSTOWN, PA 15904 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 517 | $13K |
| 2022 | 410 | $9K |
| 2023 | 1,224 | $31K |
| 2024 | 395 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 861 | 820 | $26K |
| S0621 | Routine ophthalmological exa | 755 | 727 | $23K |
| V2020 | Vision svcs frames purchases | 154 | 151 | $13K |
| 92310 | 50 | 40 | $2K | |
| V2100 | Lens spher single plano 4.00 | 78 | 77 | $1K |
| V2784 | Lens polycarb or equal | 12 | 12 | $310.35 |
| 92015 | 368 | 345 | $0.00 | |
| 92014 | 50 | 40 | $0.00 | |
| 92250 | 218 | 158 | $0.00 |