NPI: 1457340705 · AMARILLO, TX 79106 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $391.02 |
| 2019 | 12 | $390.60 |
| 2020 | 391 | $9K |
| 2021 | 3,219 | $101K |
| 2022 | 4,101 | $128K |
| 2023 | 3,797 | $121K |
| 2024 | 2,550 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,970 | 1,921 | $106K |
| V2020 | Vision svcs frames purchases | 2,875 | 2,741 | $82K |
| V2100 | Lens spher single plano 4.00 | 1,647 | 1,572 | $68K |
| V2784 | Lens polycarb or equal | 2,779 | 2,690 | $49K |
| S0620 | Routine ophthalmological exa | 942 | 904 | $47K |
| V2750 | Anti-reflective coating | 1,714 | 1,652 | $42K |
| V2025 | Eyeglasses delux frames | 1,008 | 1,004 | $41K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,149 | 1,131 | $19K |