NPI: 1568613198 · MIDLAND, MI 48640 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,557 | $42K |
| 2019 | 2,521 | $68K |
| 2020 | 2,598 | $70K |
| 2021 | 3,154 | $85K |
| 2022 | 2,849 | $81K |
| 2023 | 2,533 | $69K |
| 2024 | 2,631 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 2,371 | 2,360 | $103K |
| 92340 | 4,424 | 4,356 | $82K | |
| S0620 | Routine ophthalmological exa | 1,685 | 1,660 | $74K |
| V2020 | Vision svcs frames purchases | 2,220 | 2,219 | $56K |
| 92012 | 1,174 | 1,113 | $52K | |
| 92341 | 1,210 | 1,194 | $26K | |
| 92015 | 1,501 | 1,468 | $17K | |
| 92002 | 278 | 276 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,130 | 1,128 | $11K |
| 92250 | 563 | 562 | $11K | |
| 99213 | 118 | 112 | $5K | |
| 92083 | 71 | 66 | $2K | |
| 92133 | 76 | 76 | $2K | |
| 92014 | 14 | 12 | $859.25 | |
| V2100 | Lens spher single plano 4.00 | 50 | 50 | $494.40 |
| 92225 | 21 | 12 | $352.26 | |
| 1036F | 173 | 173 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 173 | 173 | $0.00 |
| G8785 | Bp scrn no perf at interval | 345 | 325 | $0.00 |
| G9905 | No pt tbco scrn rng | 246 | 229 | $0.00 |