NPI: 1366631582 · HOUSTON, TX 77083 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 70 | $836.67 |
| 2019 | 26 | $967.58 |
| 2020 | 1,215 | $30K |
| 2021 | 5,266 | $131K |
| 2022 | 4,876 | $119K |
| 2023 | 4,929 | $119K |
| 2024 | 3,905 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 4,931 | 4,855 | $211K |
| V2020 | Vision svcs frames purchases | 5,880 | 5,739 | $99K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,655 | 2,608 | $54K |
| S0620 | Routine ophthalmological exa | 1,163 | 1,146 | $50K |
| V2100 | Lens spher single plano 4.00 | 1,311 | 1,286 | $36K |
| V2784 | Lens polycarb or equal | 2,603 | 2,565 | $33K |
| 92340 | 266 | 250 | $8K | |
| 92014 | 84 | 82 | $3K | |
| 92015 | 268 | 266 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 59 | 58 | $1K |
| S0592 | Comp cont lens eval | 12 | 12 | $818.40 |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 14 | $290.64 |
| 2026F | 861 | 818 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 15 | 14 | $0.00 |
| 2033F | 153 | 149 | $0.00 | |
| 1036F | 12 | 12 | $0.00 |