NPI: 1356678155 · WAUCHULA, FL 33873 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,722 | $47K |
| 2020 | 2,346 | $35K |
| 2021 | 2,252 | $43K |
| 2022 | 7,835 | $159K |
| 2023 | 7,120 | $189K |
| 2024 | 7,351 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,668 | 4,216 | $307K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 1,530 | 1,477 | $109K |
| 92004 | 1,772 | 1,687 | $100K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,580 | 2,472 | $48K |
| V2020 | Vision svcs frames purchases | 4,576 | 4,387 | $39K |
| 92340 | 4,174 | 4,002 | $24K | |
| V2100 | Lens spher single plano 4.00 | 1,290 | 1,241 | $21K |
| 92015 | 5,443 | 5,214 | $16K | |
| V2784 | Lens polycarb or equal | 1,811 | 1,752 | $8K |
| 92250 | 371 | 340 | $6K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 388 | 375 | $6K |
| 99213 | 101 | 94 | $5K | |
| V2750 | Anti-reflective coating | 710 | 691 | $0.00 |
| 99072 | 161 | 158 | $0.00 | |
| S9986 | Not medically necessary svc | 51 | 51 | $0.00 |