NPI: 1336109503 · KINGSTON, PA 18704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 325 | $7K |
| 2021 | 2,030 | $45K |
| 2022 | 2,026 | $44K |
| 2023 | 1,739 | $36K |
| 2024 | 2,192 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,831 | 877 | $56K |
| 92014 | 872 | 863 | $37K | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 708 | 286 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,293 | 640 | $23K |
| 92012 | 385 | 368 | $13K | |
| V2020 | Vision svcs frames purchases | 1,339 | 1,198 | $10K |
| 92015 | 1,569 | 1,535 | $9K | |
| V2100 | Lens spher single plano 4.00 | 250 | 119 | $4K |
| 92004 | 40 | 40 | $2K | |
| 99213 | 13 | 12 | $388.50 | |
| 92002 | 12 | 12 | $340.08 |