NPI: 1518105980 · SUMTER, SC 29150 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,434 | $189K |
| 2019 | 6,001 | $205K |
| 2020 | 5,253 | $193K |
| 2021 | 7,084 | $259K |
| 2022 | 6,922 | $244K |
| 2023 | 4,170 | $150K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,896 | 4,879 | $349K | |
| 92004 | 3,113 | 3,069 | $266K | |
| 92340 | 11,411 | 11,146 | $198K | |
| 92015 | 9,179 | 9,072 | $146K | |
| 99213 | 2,003 | 1,806 | $88K | |
| 92250 | 1,602 | 1,549 | $58K | |
| 99204 | 482 | 460 | $48K | |
| 99214 | 710 | 698 | $48K | |
| 99212 | 828 | 807 | $22K | |
| 92134 | 391 | 389 | $10K | |
| V2020 | Vision svcs frames purchases | 64 | 61 | $3K |
| 92341 | 71 | 71 | $2K | |
| 92083 | 37 | 37 | $2K | |
| V2784 | Lens polycarb or equal | 51 | 36 | $2K |
| 92285 | 26 | 26 | $357.02 |