NPI: 1316490709 · JEFFERSON, LA 70121 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,206 | $70K |
| 2019 | 589 | $44K |
| 2020 | 946 | $71K |
| 2021 | 750 | $58K |
| 2022 | 625 | $48K |
| 2023 | 434 | $26K |
| 2024 | 340 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,404 | 2,163 | $158K | |
| 92004 | 1,872 | 1,740 | $158K | |
| V2020 | Vision svcs frames purchases | 526 | 478 | $7K |
| 99211 | 532 | 486 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 338 | 309 | $5K |
| V2100 | Lens spher single plano 4.00 | 129 | 119 | $2K |
| 92250 | 33 | 27 | $1K | |
| 92012 | 18 | 13 | $673.38 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 26 | 26 | $371.05 |
| 92015 | 12 | 12 | $0.00 |