NPI: 1528095593 · NEW ROCHELLE, NY 10801 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,806 | $76K |
| 2019 | 2,422 | $140K |
| 2020 | 1,402 | $76K |
| 2021 | 834 | $48K |
| 2022 | 1,140 | $57K |
| 2023 | 1,276 | $59K |
| 2024 | 782 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,872 | 1,864 | $191K | |
| V2020 | Vision svcs frames purchases | 3,581 | 3,531 | $166K |
| 92004 | 850 | 849 | $85K | |
| 92015 | 2,104 | 2,100 | $36K | |
| V2100 | Lens spher single plano 4.00 | 392 | 229 | $7K |
| 99243 | 83 | 83 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 321 | 276 | $3K |
| 99214 | 17 | 17 | $1K | |
| 92340 | 45 | 45 | $675.00 | |
| V2784 | Lens polycarb or equal | 384 | 226 | $212.00 |
| V2199 | Lens single vision not oth c | 13 | 12 | $0.00 |