NPI: 1568451912 · PLATTSBURGH, NY 12901 · 174400000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,998 | $89K |
| 2019 | 3,910 | $41K |
| 2020 | 14 | $152.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 951 | 951 | $38K | |
| 92004 | 714 | 713 | $29K | |
| V2020 | Vision svcs frames purchases | 2,333 | 2,325 | $26K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 906 | 450 | $19K |
| V2100 | Lens spher single plano 4.00 | 641 | 353 | $12K |
| 99214 | 37 | 37 | $2K | |
| 99213 | 54 | 51 | $2K | |
| S0620 | Routine ophthalmological exa | 47 | 47 | $2K |
| S0621 | Routine ophthalmological exa | 40 | 40 | $2K |
| V2784 | Lens polycarb or equal | 5,199 | 2,605 | $0.00 |