NPI: 1477172138 · STATE COLLEGE, PA 16803 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 812 | $29K |
| 2022 | 585 | $23K |
| 2023 | 1,002 | $39K |
| 2024 | 345 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 683 | 664 | $44K |
| S0621 | Routine ophthalmological exa | 1,306 | 1,300 | $39K |
| S0620 | Routine ophthalmological exa | 419 | 414 | $12K |
| V2100 | Lens spher single plano 4.00 | 221 | 206 | $7K |
| V2784 | Lens polycarb or equal | 89 | 84 | $1K |
| S0592 | Comp cont lens eval | 14 | 14 | $490.00 |
| 1036F | 12 | 12 | $0.00 |