NPI: 1376567214 · SAN ANTONIO, TX 78224 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 445 | $19K |
| 2019 | 561 | $25K |
| 2020 | 630 | $28K |
| 2021 | 8,654 | $262K |
| 2022 | 9,597 | $278K |
| 2023 | 9,558 | $281K |
| 2024 | 8,062 | $242K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 11,751 | 11,676 | $526K |
| V2020 | Vision svcs frames purchases | 12,487 | 12,087 | $256K |
| V2100 | Lens spher single plano 4.00 | 10,901 | 10,600 | $250K |
| S0620 | Routine ophthalmological exa | 1,198 | 1,187 | $55K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 770 | 751 | $34K |
| V2200 | Lens spher bifoc plano 4.00d | 228 | 225 | $9K |
| 92014 | 131 | 130 | $6K | |
| 92015 | 17 | 17 | $248.00 | |
| 3072F | 24 | 24 | $240.00 |