NPI: 1417139817 · MIDDLETOWN, NY 10941 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,160 | $52K |
| 2019 | 4,413 | $68K |
| 2020 | 4,083 | $62K |
| 2021 | 6,570 | $126K |
| 2022 | 8,631 | $227K |
| 2023 | 11,530 | $340K |
| 2024 | 7,455 | $192K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 5,149 | 5,125 | $284K | |
| 92250 | 3,172 | 3,158 | $140K | |
| 92002 | 3,364 | 3,363 | $100K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,886 | 4,231 | $93K |
| V2020 | Vision svcs frames purchases | 8,175 | 8,152 | $72K |
| 92285 | 2,673 | 2,531 | $70K | |
| 76512 | 1,003 | 730 | $68K | |
| 92340 | 4,437 | 4,431 | $65K | |
| 92082 | 1,438 | 1,428 | $60K | |
| V2784 | Lens polycarb or equal | 6,992 | 4,397 | $42K |
| V2100 | Lens spher single plano 4.00 | 1,141 | 960 | $22K |
| 92012 | 620 | 620 | $18K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 508 | 385 | $12K |
| 92014 | 157 | 157 | $9K | |
| 92341 | 310 | 310 | $6K | |
| S0620 | Routine ophthalmological exa | 63 | 63 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 74 | 74 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 84 | 59 | $1K |
| 92134 | 529 | 523 | $324.20 | |
| V2107 | Spherocylinder 4.25d/12-2d | 17 | 12 | $233.56 |
| 92025 | 13 | 13 | $63.94 | |
| 92015 | 37 | 37 | $19.00 |