NPI: 1346521119 · INDIANOLA, MS 38751 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,139 | $163K |
| 2019 | 5,248 | $158K |
| 2020 | 3,713 | $78K |
| 2021 | 2,243 | $41K |
| 2022 | 1,193 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,509 | 1,439 | $142K | |
| 92015 | 2,683 | 2,493 | $107K | |
| V2020 | Vision svcs frames purchases | 2,377 | 2,214 | $77K |
| 92004 | 389 | 370 | $46K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,265 | 1,182 | $37K |
| 92340 | 2,112 | 1,979 | $32K | |
| 92012 | 284 | 283 | $20K | |
| V2100 | Lens spher single plano 4.00 | 24 | 24 | $912.24 |
| V2784 | Lens polycarb or equal | 1,563 | 1,467 | $80.00 |
| G9903 | Pt scrn tbco id as non user | 1,549 | 1,413 | $0.00 |
| 1036F | 2,622 | 2,386 | $0.00 | |
| G8952 | Pre-htn/htn, no f/u, not gvn | 262 | 236 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 599 | 574 | $0.00 |
| G9905 | No pt tbco scrn rng | 260 | 220 | $0.00 |
| G8783 | Bp scrn perf rec interval | 38 | 37 | $0.00 |