NPI: 1508885369 · LOUISVILLE, MS 39339 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,156 | $111K |
| 2019 | 2,836 | $106K |
| 2020 | 1,796 | $61K |
| 2021 | 1,491 | $53K |
| 2022 | 814 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,700 | 1,584 | $164K | |
| V2020 | Vision svcs frames purchases | 1,939 | 1,836 | $65K |
| 92015 | 2,127 | 2,005 | $47K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 973 | 933 | $28K |
| 92004 | 223 | 221 | $27K | |
| 92340 | 1,570 | 1,500 | $21K | |
| V2100 | Lens spher single plano 4.00 | 179 | 172 | $6K |
| 92250 | 42 | 37 | $2K | |
| 92341 | 40 | 37 | $509.12 | |
| 1036F | 148 | 143 | $0.00 | |
| V2784 | Lens polycarb or equal | 871 | 813 | $0.00 |
| G8428 | Cur meds not document | 109 | 104 | $0.00 |
| 83861 | 172 | 82 | $0.00 |