NPI: 1568530079 · BRONX, NY 10453 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,996 | $61K |
| 2019 | 10,019 | $52K |
| 2020 | 6,955 | $47K |
| 2021 | 11,568 | $113K |
| 2022 | 9,398 | $157K |
| 2023 | 7,785 | $140K |
| 2024 | 5,413 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 13,616 | 13,496 | $169K |
| V2100 | Lens spher single plano 4.00 | 11,862 | 6,549 | $168K |
| 92004 | 3,089 | 3,083 | $111K | |
| 92014 | 4,210 | 4,204 | $110K | |
| V2200 | Lens spher bifoc plano 4.00d | 3,886 | 2,154 | $72K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,613 | 2,022 | $22K |
| 92340 | 747 | 746 | $10K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,274 | 683 | $10K |
| V2784 | Lens polycarb or equal | 12,531 | 6,436 | $8K |
| S0621 | Routine ophthalmological exa | 96 | 96 | $2K |
| 92012 | 53 | 53 | $1K | |
| S0620 | Routine ophthalmological exa | 68 | 68 | $1K |
| S0580 | Polycarb lens | 17 | 17 | $288.00 |
| V2755 | Uv lens/es | 5,998 | 2,987 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 12 | $0.00 |
| V2025 | Eyeglasses delux frames | 50 | 50 | $0.00 |