NPI: 1497137582 · EAST PROVIDENCE, RI 02914 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,229 | $449K |
| 2019 | 2,950 | $72K |
| 2020 | 9,503 | $276K |
| 2021 | 19,100 | $558K |
| 2022 | 8,745 | $262K |
| 2023 | 11,963 | $349K |
| 2024 | 1,997 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 6,517 | 6,363 | $446K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,455 | 4,759 | $229K |
| 92015 | 9,400 | 9,053 | $210K | |
| V2020 | Vision svcs frames purchases | 9,107 | 8,828 | $167K |
| 92340 | 8,486 | 8,118 | $145K | |
| 92014 | 2,870 | 2,775 | $119K | |
| 99213 | 2,208 | 2,128 | $105K | |
| S0580 | Polycarb lens | 6,296 | 5,354 | $99K |
| 99203 | 1,061 | 1,035 | $86K | |
| 92370 | 7,903 | 7,490 | $63K | |
| 99212 | 1,691 | 1,511 | $57K | |
| 92250 | 1,602 | 1,553 | $52K | |
| V2100 | Lens spher single plano 4.00 | 1,223 | 1,102 | $49K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 817 | 711 | $36K |
| 92083 | 679 | 650 | $24K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 318 | 302 | $23K |
| V2303 | Lens sphcy trifocal 4.0/.12- | 238 | 231 | $22K |
| 92004 | 363 | 353 | $20K | |
| 92133 | 735 | 707 | $17K | |
| 92341 | 548 | 536 | $11K | |
| 92342 | 480 | 464 | $10K | |
| V2107 | Spherocylinder 4.25d/12-2d | 150 | 141 | $8K |
| 92012 | 255 | 244 | $7K | |
| 92202 | 687 | 671 | $6K | |
| 92226 | 235 | 220 | $4K | |
| 92225 | 96 | 88 | $3K | |
| 92134 | 26 | 25 | $655.02 | |
| V2756 | Eye glass case | 21 | 21 | $85.00 |
| 99072 | 20 | 14 | $0.00 |