NPI: 1548673833 · JUPITER, FL 33458 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 121 | $2K |
| 2020 | 489 | $13K |
| 2021 | 1,266 | $17K |
| 2022 | 3,216 | $37K |
| 2023 | 1,310 | $25K |
| 2024 | 523 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 892 | 731 | $49K | |
| 92004 | 474 | 404 | $33K | |
| V2020 | Vision svcs frames purchases | 1,220 | 822 | $15K |
| 92015 | 1,726 | 1,445 | $3K | |
| 99213 | 79 | 57 | $3K | |
| 92340 | 520 | 373 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 572 | 335 | $907.52 |
| V2410 | Lens variab asphericity sing | 26 | 12 | $521.82 |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 12 | $214.62 |
| V2784 | Lens polycarb or equal | 1,122 | 738 | $159.04 |
| V2100 | Lens spher single plano 4.00 | 18 | 13 | $148.59 |
| V2025 | Eyeglasses delux frames | 28 | 20 | $0.00 |
| V2750 | Anti-reflective coating | 221 | 119 | $0.00 |