NPI: 1396000345 · PHILADELPHIA, PA 19149 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 401 | $12K |
| 2020 | 4,238 | $122K |
| 2021 | 18,130 | $478K |
| 2022 | 14,973 | $443K |
| 2023 | 21,493 | $507K |
| 2024 | 25,401 | $597K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 33,930 | 14,278 | $875K |
| V2020 | Vision svcs frames purchases | 19,605 | 15,318 | $693K |
| 92014 | 5,493 | 5,371 | $238K | |
| 92004 | 4,818 | 4,670 | $208K | |
| 92340 | 2,310 | 1,831 | $53K | |
| V2784 | Lens polycarb or equal | 12,000 | 5,290 | $36K |
| V2200 | Lens spher bifoc plano 4.00d | 540 | 319 | $17K |
| V2744 | Tint photochromatic lens/es | 645 | 295 | $15K |
| V2755 | Uv lens/es | 3,730 | 1,471 | $10K |
| V2750 | Anti-reflective coating | 590 | 273 | $9K |
| 92310 | 95 | 94 | $3K | |
| 92015 | 509 | 507 | $2K | |
| V2300 | Lens sphere trifocal 4.00d | 26 | 13 | $1K |
| 92250 | 345 | 340 | $35.00 |