NPI: 1316226608 · WORCESTER, MA 01609 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $150.12 |
| 2020 | 127 | $3K |
| 2021 | 604 | $11K |
| 2022 | 1,095 | $20K |
| 2023 | 1,466 | $34K |
| 2024 | 1,582 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,167 | 1,065 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 716 | 417 | $17K |
| 92004 | 226 | 202 | $14K | |
| 92015 | 859 | 794 | $13K | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 270 | 134 | $11K |
| 92014 | 244 | 244 | $11K | |
| V2784 | Lens polycarb or equal | 454 | 219 | $5K |
| 92370 | 298 | 142 | $4K | |
| 99214 | 45 | 45 | $3K | |
| V2750 | Anti-reflective coating | 272 | 136 | $3K |
| V2755 | Uv lens/es | 156 | 78 | $2K |
| 92340 | 100 | 46 | $1K | |
| V2100 | Lens spher single plano 4.00 | 56 | 42 | $1K |
| 92285 | 24 | 24 | $783.37 |