NPI: 1326045931 · COLUMBIA CITY, IN 46725 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,779 | $192K |
| 2019 | 5,917 | $188K |
| 2020 | 8,043 | $163K |
| 2021 | 9,893 | $211K |
| 2022 | 12,274 | $396K |
| 2023 | 13,938 | $475K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 5,078 | 4,841 | $396K | |
| 92014 | 4,716 | 4,578 | $284K | |
| V2750 | Anti-reflective coating | 2,604 | 2,501 | $228K |
| 92340 | 9,380 | 9,035 | $159K | |
| V2410 | Lens variab asphericity sing | 1,608 | 1,562 | $151K |
| V2784 | Lens polycarb or equal | 7,188 | 6,897 | $113K |
| 92015 | 9,450 | 9,077 | $79K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,712 | 5,499 | $73K |
| V2020 | Vision svcs frames purchases | 7,172 | 6,882 | $54K |
| V2499 | Variable asphericity lens | 571 | 545 | $37K |
| V2755 | Uv lens/es | 904 | 866 | $22K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 455 | 435 | $9K |
| 92341 | 421 | 399 | $7K | |
| V2100 | Lens spher single plano 4.00 | 355 | 345 | $5K |
| 99213 | 93 | 78 | $3K | |
| 92250 | 30 | 30 | $1K | |
| 92134 | 40 | 39 | $1K | |
| S0621 | Routine ophthalmological exa | 42 | 41 | $1K |
| S0620 | Routine ophthalmological exa | 25 | 25 | $914.00 |