NPI: 1417335175 · FLORESVILLE, TX 78114 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 290 | $0.00 |
| 2023 | 652 | $16K |
| 2024 | 507 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 203 | 200 | $11K |
| S0621 | Routine ophthalmological exa | 337 | 331 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 174 | 174 | $3K |
| S0620 | Routine ophthalmological exa | 91 | 88 | $2K |
| V2020 | Vision svcs frames purchases | 27 | 27 | $430.82 |
| 92015 | 602 | 592 | $0.00 | |
| S9986 | Not medically necessary svc | 15 | 15 | $0.00 |