NPI: 1538365481 · GRAND ISLAND, NE 68803 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,803 | $106K |
| 2019 | 3,158 | $86K |
| 2020 | 3,500 | $96K |
| 2021 | 3,965 | $116K |
| 2022 | 4,068 | $117K |
| 2023 | 3,762 | $106K |
| 2024 | 3,678 | $117K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 4,437 | 4,344 | $273K | |
| V2020 | Vision svcs frames purchases | 4,039 | 3,935 | $118K |
| 92014 | 2,109 | 2,042 | $117K | |
| 92015 | 4,144 | 3,987 | $67K | |
| 92004 | 738 | 724 | $50K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,837 | 2,637 | $48K |
| V2784 | Lens polycarb or equal | 2,240 | 2,185 | $22K |
| 92250 | 453 | 400 | $19K | |
| 92341 | 188 | 183 | $11K | |
| 92012 | 250 | 245 | $9K | |
| V2756 | Eye glass case | 4,366 | 4,259 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 40 | 40 | $2K |
| 92002 | 31 | 31 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 50 | 50 | $714.66 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $170.34 |