NPI: 1487958831 · JAMAICA, NY 11432 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,893 | $104K |
| 2019 | 3,599 | $76K |
| 2020 | 2,221 | $55K |
| 2021 | 4,154 | $104K |
| 2022 | 3,369 | $100K |
| 2023 | 3,225 | $104K |
| 2024 | 1,912 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,817 | 2,800 | $201K | |
| 92250 | 1,908 | 1,899 | $88K | |
| 92083 | 1,409 | 1,396 | $69K | |
| V2020 | Vision svcs frames purchases | 5,290 | 5,251 | $62K |
| V2100 | Lens spher single plano 4.00 | 3,749 | 2,175 | $60K |
| 92285 | 1,564 | 1,548 | $39K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 454 | 452 | $24K |
| 92340 | 955 | 951 | $13K | |
| V2200 | Lens spher bifoc plano 4.00d | 405 | 239 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,153 | 779 | $10K |
| 92014 | 71 | 70 | $4K | |
| V2784 | Lens polycarb or equal | 1,761 | 915 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 329 | 204 | $3K |
| 92082 | 64 | 64 | $3K | |
| 92225 | 111 | 69 | $2K | |
| 92015 | 145 | 145 | $2K | |
| S0580 | Polycarb lens | 116 | 112 | $1K |
| 92341 | 60 | 60 | $1K | |
| V2219 | Lens bifocal seg width over | 12 | 12 | $880.00 |