NPI: 1457673238 · MONROEVILLE, PA 15146 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 42 | $2K |
| 2019 | 80 | $3K |
| 2020 | 716 | $25K |
| 2021 | 3,225 | $100K |
| 2022 | 3,933 | $136K |
| 2023 | 3,966 | $143K |
| 2024 | 4,468 | $191K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,899 | 5,186 | $236K |
| V2100 | Lens spher single plano 4.00 | 5,314 | 4,495 | $200K |
| 92014 | 1,047 | 1,026 | $43K | |
| V2784 | Lens polycarb or equal | 980 | 842 | $31K |
| 92004 | 654 | 641 | $27K | |
| V2750 | Anti-reflective coating | 581 | 504 | $16K |
| S0621 | Routine ophthalmological exa | 447 | 445 | $13K |
| 92340 | 463 | 328 | $10K | |
| V2500 | Contact lens pmma spherical | 125 | 70 | $8K |
| 92012 | 184 | 184 | $7K | |
| S0620 | Routine ophthalmological exa | 222 | 221 | $7K |
| V2025 | Eyeglasses delux frames | 12 | 12 | $839.82 |
| V2760 | Scratch resistant coating | 53 | 35 | $730.98 |
| 92310 | 14 | 14 | $520.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 14 | $152.10 |
| 92015 | 62 | 61 | $0.00 | |
| 92250 | 40 | 40 | $0.00 | |
| V2799 | Misc vision item or service | 319 | 191 | $0.00 |