NPI: 1528793205 · SHAMOKIN, PA 17872 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 391 | $12K |
| 2023 | 5,812 | $174K |
| 2024 | 4,497 | $148K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 2,316 | 1,831 | $134K |
| 92004 | 978 | 951 | $58K | |
| 92014 | 973 | 956 | $47K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,364 | 1,084 | $41K |
| V2020 | Vision svcs frames purchases | 2,302 | 1,825 | $18K |
| 92015 | 1,975 | 1,929 | $12K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 253 | 190 | $9K |
| V2100 | Lens spher single plano 4.00 | 219 | 174 | $4K |
| V2102 | Singl visn sphere 7.12-20.00 | 101 | 80 | $4K |
| 92012 | 106 | 98 | $3K | |
| 92134 | 74 | 74 | $2K | |
| V2202 | Lens sphere bifocal 7.12-20. | 13 | 12 | $650.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 12 | $394.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $360.00 |