NPI: 1518319029 · MARION, IL 62959 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,299 | $103K |
| 2019 | 6,244 | $156K |
| 2020 | 2,215 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,858 | 1,763 | $66K | |
| 92015 | 3,797 | 3,664 | $66K | |
| 92340 | 1,824 | 1,765 | $53K | |
| 92004 | 1,032 | 979 | $43K | |
| 92012 | 2,070 | 1,870 | $41K | |
| 92341 | 548 | 534 | $16K | |
| V2020 | Vision svcs frames purchases | 670 | 616 | $16K |
| 92002 | 237 | 234 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 281 | 274 | $4K |
| V2100 | Lens spher single plano 4.00 | 129 | 121 | $2K |
| 92225 | 62 | 41 | $2K | |
| V2784 | Lens polycarb or equal | 212 | 197 | $1K |
| 92134 | 38 | 36 | $526.16 |