NPI: 1508279266 · MUSCATINE, IA 52761 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,001 | $28K |
| 2019 | 851 | $24K |
| 2020 | 321 | $10K |
| 2021 | 235 | $10K |
| 2022 | 324 | $13K |
| 2023 | 304 | $11K |
| 2024 | 40 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 876 | 862 | $47K | |
| V2020 | Vision svcs frames purchases | 1,035 | 994 | $25K |
| 92004 | 170 | 168 | $15K | |
| 99213 | 145 | 110 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 130 | 128 | $3K |
| 92250 | 101 | 96 | $3K | |
| 92015 | 79 | 66 | $526.75 | |
| V2756 | Eye glass case | 459 | 454 | $488.34 |
| G8427 | Docrev cur meds by elig clin | 69 | 62 | $0.00 |
| 1036F | 12 | 12 | $0.00 |