NPI: 1376637405 · GREENVILLE, MS 38701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,530 | $176K |
| 2019 | 4,441 | $101K |
| 2020 | 3,483 | $121K |
| 2021 | 5,023 | $150K |
| 2022 | 4,567 | $145K |
| 2023 | 4,510 | $128K |
| 2024 | 2,833 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,212 | 1,951 | $167K | |
| 92012 | 3,780 | 2,929 | $158K | |
| 92015 | 6,987 | 5,848 | $147K | |
| 92004 | 1,407 | 1,250 | $130K | |
| V2020 | Vision svcs frames purchases | 5,197 | 4,236 | $129K |
| 92340 | 5,619 | 4,687 | $97K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,242 | 1,875 | $46K |
| V2100 | Lens spher single plano 4.00 | 1,056 | 889 | $24K |
| 92002 | 350 | 334 | $20K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 107 | 92 | $4K |
| 92341 | 250 | 189 | $3K | |
| 92133 | 90 | 85 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 16 | $430.32 |
| 92250 | 16 | 12 | $387.74 | |
| V2784 | Lens polycarb or equal | 25 | 25 | $254.60 |
| 76514 | 14 | 14 | $111.06 | |
| 3072F | 19 | 19 | $10.00 |