NPI: 1487786455 · PENDLETON, OR 97801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 992 | $34K |
| 2019 | 1,391 | $46K |
| 2020 | 952 | $23K |
| 2021 | 2,613 | $104K |
| 2022 | 3,841 | $165K |
| 2023 | 2,634 | $121K |
| 2024 | 2,928 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,711 | 1,600 | $156K | |
| 92004 | 1,208 | 1,174 | $150K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 2,276 | 2,236 | $122K |
| 92015 | 3,869 | 3,652 | $57K | |
| V2020 | Vision svcs frames purchases | 2,321 | 2,279 | $54K |
| 92340 | 1,578 | 1,567 | $48K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,129 | 2,094 | $44K |
| 99213 | 173 | 134 | $6K | |
| 92310 | 26 | 25 | $2K | |
| 92133 | 13 | 13 | $279.85 | |
| G8427 | Docrev cur meds by elig clin | 17 | 13 | $0.00 |
| 1036F | 15 | 12 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 15 | 12 | $0.00 |