NPI: 1407956071 · LAKE CITY, FL 32025 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 127 | $957.12 |
| 2020 | 212 | $2K |
| 2021 | 985 | $27K |
| 2022 | 3,099 | $84K |
| 2023 | 2,862 | $81K |
| 2024 | 2,233 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 877 | 624 | $79K | |
| 92004 | 613 | 500 | $71K | |
| V2784 | Lens polycarb or equal | 670 | 638 | $54K |
| V2410 | Lens variab asphericity sing | 1,155 | 1,087 | $33K |
| V2020 | Vision svcs frames purchases | 1,357 | 1,294 | $11K |
| 92250 | 1,342 | 1,124 | $7K | |
| 92340 | 1,151 | 1,100 | $6K | |
| 92015 | 1,407 | 1,164 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 819 | 770 | $2K |
| 92225 | 58 | 25 | $106.54 | |
| 92201 | 69 | 68 | $16.07 |