NPI: 1558312025 · FORT MYERS, FL 33901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,132 | $42K |
| 2020 | 286 | $4K |
| 2021 | 283 | $9K |
| 2022 | 1,508 | $35K |
| 2023 | 689 | $19K |
| 2024 | 650 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,021 | 949 | $75K | |
| V2020 | Vision svcs frames purchases | 919 | 878 | $23K |
| 92004 | 304 | 294 | $19K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 320 | 252 | $3K |
| 92015 | 1,382 | 1,335 | $2K | |
| V2784 | Lens polycarb or equal | 573 | 368 | $2K |
| V2100 | Lens spher single plano 4.00 | 161 | 138 | $2K |
| 92250 | 46 | 46 | $1K | |
| 92340 | 774 | 746 | $1K | |
| S9986 | Not medically necessary svc | 13 | 13 | $0.00 |
| 92341 | 13 | 13 | $0.00 | |
| 99072 | 22 | 21 | $0.00 |