NPI: 1417092313 · BRONX, NY 10463 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,047 | $35K |
| 2019 | 2,024 | $71K |
| 2020 | 1,896 | $69K |
| 2021 | 1,766 | $62K |
| 2022 | 1,619 | $53K |
| 2023 | 29 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,746 | 1,734 | $79K | |
| 92014 | 1,111 | 1,091 | $63K | |
| 92004 | 668 | 662 | $48K | |
| 92083 | 334 | 328 | $17K | |
| V2100 | Lens spher single plano 4.00 | 872 | 427 | $12K |
| 92285 | 503 | 488 | $12K | |
| 92012 | 282 | 270 | $12K | |
| 99204 | 114 | 113 | $9K | |
| V2020 | Vision svcs frames purchases | 798 | 783 | $8K |
| 92226 | 459 | 240 | $6K | |
| 99214 | 91 | 88 | $5K | |
| 92020 | 329 | 321 | $4K | |
| 92202 | 261 | 201 | $4K | |
| 92225 | 232 | 126 | $3K | |
| 92133 | 87 | 86 | $3K | |
| 68761 | 34 | 24 | $2K | |
| 92060 | 44 | 44 | $1K | |
| 68840 | 24 | 24 | $1K | |
| 92134 | 12 | 12 | $372.31 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 28 | 14 | $246.48 |
| 92015 | 66 | 58 | $0.00 | |
| V2784 | Lens polycarb or equal | 256 | 127 | $0.00 |
| V2755 | Uv lens/es | 30 | 15 | $0.00 |