NPI: 1427364157 · PAWTUCKET, RI 02860 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,710 | $50K |
| 2019 | 424 | $10K |
| 2020 | 2,694 | $78K |
| 2021 | 5,325 | $160K |
| 2022 | 2,640 | $75K |
| 2023 | 4,978 | $156K |
| 2024 | 5,402 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,854 | 1,819 | $105K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,401 | 2,357 | $104K |
| 92014 | 2,399 | 2,350 | $103K | |
| V2020 | Vision svcs frames purchases | 4,567 | 4,484 | $79K |
| 92340 | 3,587 | 3,521 | $62K | |
| 92015 | 2,594 | 2,524 | $58K | |
| 99213 | 920 | 868 | $44K | |
| S0580 | Polycarb lens | 2,029 | 1,980 | $35K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 526 | 521 | $34K |
| V2100 | Lens spher single plano 4.00 | 763 | 745 | $30K |
| 92250 | 631 | 621 | $20K | |
| 92341 | 757 | 746 | $15K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 60 | 60 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 36 | 36 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 13 | 13 | $483.60 |
| 92083 | 12 | 12 | $395.43 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $233.16 |
| 92133 | 12 | 12 | $221.91 |