NPI: 1487979647 · FARMINGTON HILLS, MI 48334 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,660 | $56K |
| 2019 | 1,506 | $41K |
| 2020 | 2,573 | $78K |
| 2021 | 3,594 | $120K |
| 2022 | 2,762 | $92K |
| 2023 | 3,555 | $122K |
| 2024 | 1,850 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,347 | 2,224 | $131K | |
| 92004 | 1,563 | 1,510 | $117K | |
| 68761 | 1,122 | 494 | $57K | |
| 92012 | 1,449 | 1,191 | $55K | |
| 99213 | 1,244 | 1,088 | $54K | |
| 92250 | 2,730 | 2,605 | $49K | |
| 92015 | 4,569 | 3,192 | $47K | |
| 92025 | 1,127 | 1,097 | $20K | |
| 92083 | 392 | 383 | $11K | |
| 99204 | 138 | 135 | $10K | |
| 83861 | 548 | 344 | $8K | |
| 92285 | 456 | 448 | $5K | |
| 92136 | 223 | 205 | $5K | |
| 92134 | 155 | 149 | $3K | |
| 92273 | 24 | 24 | $2K | |
| 92275 | 18 | 13 | $813.28 | |
| 92133 | 41 | 41 | $809.44 | |
| 99214 | 12 | 12 | $685.01 | |
| 92340 | 31 | 31 | $560.13 | |
| V2020 | Vision svcs frames purchases | 17 | 17 | $389.18 |
| 92235 | 16 | 12 | $347.93 | |
| 76514 | 15 | 14 | $76.98 | |
| V2100 | Lens spher single plano 4.00 | 15 | 15 | $72.18 |
| G8421 | Bmi not calculated | 123 | 116 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 98 | 92 | $0.00 |
| A4263 | Permanent tear duct plug | 27 | 25 | $0.00 |