NPI: 1336187327 · ROCHESTER, NY 14626 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,376 | $164K |
| 2019 | 3,841 | $201K |
| 2020 | 3,718 | $215K |
| 2021 | 4,286 | $234K |
| 2022 | 4,078 | $213K |
| 2023 | 4,829 | $225K |
| 2024 | 3,662 | $150K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 9,413 | 9,325 | $419K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,865 | 5,027 | $261K |
| 92004 | 1,823 | 1,823 | $215K | |
| 92014 | 2,113 | 2,113 | $209K | |
| V2100 | Lens spher single plano 4.00 | 2,134 | 1,980 | $101K |
| V2784 | Lens polycarb or equal | 1,210 | 1,137 | $73K |
| S0580 | Polycarb lens | 2,917 | 2,174 | $49K |
| 92015 | 1,392 | 1,392 | $22K | |
| V2107 | Spherocylinder 4.25d/12-2d | 365 | 336 | $20K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 262 | 240 | $20K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 296 | 255 | $13K |