NPI: 1568630598 · BAY ST LOUIS, MS 39520 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,657 | $101K |
| 2019 | 2,396 | $104K |
| 2020 | 2,663 | $102K |
| 2021 | 2,702 | $74K |
| 2022 | 3,046 | $93K |
| 2023 | 3,216 | $94K |
| 2024 | 1,959 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,373 | 2,317 | $224K | |
| 92004 | 1,545 | 1,510 | $176K | |
| 92015 | 4,153 | 4,023 | $118K | |
| 92340 | 2,885 | 2,794 | $65K | |
| V2020 | Vision svcs frames purchases | 3,341 | 3,201 | $24K |
| V2100 | Lens spher single plano 4.00 | 958 | 950 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 768 | 733 | $2K |
| 92341 | 31 | 29 | $529.91 | |
| 99213 | 18 | 12 | $455.83 | |
| 2033F | 1,475 | 1,425 | $0.00 | |
| V2784 | Lens polycarb or equal | 1,092 | 1,047 | $0.00 |