NPI: 1538169784 · PROVIDENCE, RI 02903 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,798 | $47K |
| 2019 | 1,370 | $29K |
| 2020 | 4,739 | $137K |
| 2021 | 2,492 | $59K |
| 2022 | 3,757 | $78K |
| 2023 | 7,034 | $164K |
| 2024 | 9,647 | $204K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,966 | 2,855 | $123K |
| V2020 | Vision svcs frames purchases | 5,639 | 5,400 | $98K |
| 92340 | 5,374 | 5,137 | $90K | |
| 99214 | 1,234 | 1,204 | $81K | |
| S0580 | Polycarb lens | 4,704 | 3,174 | $59K |
| 92015 | 2,556 | 2,277 | $57K | |
| 92370 | 3,621 | 3,373 | $33K | |
| 92014 | 776 | 749 | $31K | |
| V2100 | Lens spher single plano 4.00 | 854 | 591 | $23K |
| 99213 | 340 | 320 | $16K | |
| 92004 | 316 | 210 | $15K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 505 | 351 | $14K |
| 99203 | 185 | 177 | $14K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 255 | 155 | $13K |
| V2781 | Progressive lens per lens | 203 | 98 | $11K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 201 | 120 | $8K |
| 92342 | 299 | 293 | $6K | |
| 92250 | 154 | 154 | $5K | |
| 99204 | 40 | 38 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 136 | 85 | $3K |
| 92341 | 177 | 171 | $3K | |
| V2025 | Eyeglasses delux frames | 60 | 24 | $3K |
| V2784 | Lens polycarb or equal | 62 | 26 | $2K |
| 92133 | 91 | 87 | $2K | |
| 99212 | 14 | 14 | $460.35 | |
| 92083 | 13 | 13 | $431.31 | |
| 92202 | 47 | 44 | $404.75 | |
| V2756 | Eye glass case | 15 | 15 | $13.36 |