NPI: 1457625717 · DONNA, TX 78537 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $2K |
| 2019 | 368 | $2K |
| 2020 | 86 | $1K |
| 2021 | 209 | $4K |
| 2022 | 202 | $4K |
| 2023 | 2,151 | $81K |
| 2024 | 1,488 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 558 | 546 | $30K |
| 92014 | 326 | 316 | $27K | |
| V2100 | Lens spher single plano 4.00 | 859 | 836 | $26K |
| 92004 | 267 | 260 | $26K | |
| V2020 | Vision svcs frames purchases | 1,085 | 1,055 | $26K |
| 92012 | 175 | 149 | $5K | |
| 92015 | 893 | 868 | $4K | |
| 92250 | 65 | 63 | $3K | |
| 92060 | 24 | 23 | $1K | |
| S0620 | Routine ophthalmological exa | 18 | 16 | $878.24 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 14 | 14 | $380.74 |
| 99213 | 12 | 12 | $375.20 | |
| G8732 | No doc of pain | 136 | 115 | $0.00 |
| G8428 | Cur meds not document | 149 | 127 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 18 | 13 | $0.00 |