NPI: 1467644229 · TEXARKANA, TX 75503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 688 | $29K |
| 2019 | 826 | $36K |
| 2020 | 937 | $38K |
| 2021 | 1,706 | $57K |
| 2022 | 1,892 | $71K |
| 2023 | 2,394 | $98K |
| 2024 | 2,704 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,158 | 2,116 | $106K | |
| 92015 | 2,589 | 2,545 | $84K | |
| 92014 | 1,383 | 1,341 | $72K | |
| 92004 | 846 | 835 | $60K | |
| S0621 | Routine ophthalmological exa | 802 | 797 | $34K |
| V2025 | Eyeglasses delux frames | 470 | 470 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,225 | 1,217 | $25K |
| V2020 | Vision svcs frames purchases | 1,372 | 1,349 | $24K |
| S0620 | Routine ophthalmological exa | 269 | 268 | $12K |
| 92250 | 12 | 12 | $589.82 | |
| V2100 | Lens spher single plano 4.00 | 21 | 20 | $462.00 |