NPI: 1437290889 · PAWTUCKET, RI 02860 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,102 | $86K |
| 2019 | 13,135 | $370K |
| 2020 | 2,123 | $56K |
| 2021 | 256 | $3K |
| 2022 | 231 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,099 | 1,093 | $82K | |
| 92250 | 2,924 | 2,801 | $75K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,237 | 1,355 | $59K |
| 99204 | 412 | 410 | $52K | |
| 92015 | 1,959 | 1,949 | $43K | |
| V2020 | Vision svcs frames purchases | 2,417 | 2,401 | $42K |
| 92340 | 2,013 | 2,005 | $36K | |
| 92014 | 984 | 941 | $28K | |
| S0580 | Polycarb lens | 2,479 | 1,295 | $21K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 500 | 296 | $20K |
| V2100 | Lens spher single plano 4.00 | 737 | 502 | $19K |
| 92004 | 258 | 257 | $16K | |
| 92341 | 403 | 399 | $8K | |
| 99213 | 152 | 119 | $8K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 148 | 97 | $4K |
| V2107 | Spherocylinder 4.25d/12-2d | 109 | 71 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 16 | 12 | $606.30 |