NPI: 1386656924 · LOUISVILLE, MS 39339 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,099 | $53K |
| 2020 | 1,609 | $41K |
| 2022 | 5,497 | $72K |
| 2023 | 10,263 | $172K |
| 2024 | 8,667 | $281K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,826 | 2,605 | $234K | |
| V2020 | Vision svcs frames purchases | 5,048 | 3,484 | $114K |
| 92004 | 1,031 | 624 | $68K | |
| 92015 | 5,566 | 3,846 | $63K | |
| 92340 | 4,218 | 2,960 | $49K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,662 | 1,759 | $46K |
| V2100 | Lens spher single plano 4.00 | 607 | 483 | $14K |
| V2784 | Lens polycarb or equal | 3,245 | 2,183 | $7K |
| 92250 | 543 | 259 | $7K | |
| 92012 | 230 | 88 | $6K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 249 | 109 | $4K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 235 | 128 | $3K |
| 92341 | 291 | 113 | $2K | |
| 83861 | 250 | 38 | $1K | |
| V2107 | Spherocylinder 4.25d/12-2d | 62 | 24 | $677.16 |
| 92133 | 72 | 25 | $592.05 |