NPI: 1518318898 · PROVIDENCE, RI 02903 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,015 | $404K |
| 2019 | 3,495 | $89K |
| 2020 | 9,890 | $274K |
| 2021 | 17,719 | $504K |
| 2022 | 12,116 | $380K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 4,952 | 4,807 | $335K | |
| 92015 | 9,127 | 8,707 | $203K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,983 | 3,781 | $188K |
| V2020 | Vision svcs frames purchases | 7,241 | 6,937 | $133K |
| 92014 | 3,111 | 3,000 | $128K | |
| 92340 | 6,664 | 6,240 | $114K | |
| 99213 | 2,089 | 1,961 | $99K | |
| S0580 | Polycarb lens | 4,352 | 4,076 | $78K |
| 92370 | 7,431 | 6,958 | $58K | |
| 99203 | 594 | 570 | $47K | |
| V2100 | Lens spher single plano 4.00 | 876 | 840 | $40K |
| 92250 | 1,045 | 998 | $34K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 359 | 342 | $33K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 253 | 246 | $20K |
| 92004 | 376 | 351 | $20K | |
| 92083 | 578 | 548 | $19K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 365 | 350 | $19K |
| 92133 | 713 | 687 | $17K | |
| 99212 | 449 | 429 | $16K | |
| 92342 | 496 | 471 | $10K | |
| 92341 | 511 | 499 | $10K | |
| 92012 | 369 | 347 | $10K | |
| 92226 | 335 | 316 | $6K | |
| 92225 | 167 | 148 | $5K | |
| 92202 | 673 | 645 | $5K | |
| V2107 | Spherocylinder 4.25d/12-2d | 59 | 52 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 27 | $2K |
| V2756 | Eye glass case | 20 | 20 | $75.00 |
| 99072 | 20 | 12 | $0.00 |