NPI: 1437177789 · ST PETERSBURG, FL 33710 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 787 | $9K |
| 2020 | 172 | $2K |
| 2021 | 1,454 | $67K |
| 2022 | 1,375 | $51K |
| 2023 | 212 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 949 | 874 | $84K | |
| 92012 | 941 | 878 | $44K | |
| V2020 | Vision svcs frames purchases | 157 | 151 | $4K |
| 92004 | 83 | 78 | $4K | |
| 92015 | 987 | 912 | $2K | |
| 92341 | 99 | 95 | $58.30 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 15 | $31.32 |
| 5010F | 46 | 46 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 315 | 286 | $0.00 |
| V2745 | Tint, any color/solid/grad | 14 | 14 | $0.00 |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 15 | 15 | $0.00 |
| 2022F | 17 | 17 | $0.00 | |
| 1036F | 287 | 260 | $0.00 | |
| V2755 | Uv lens/es | 75 | 74 | $0.00 |