NPI: 1588143598 · MARSHALL, TX 75672 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 561 | $16K |
| 2022 | 157 | $5K |
| 2023 | 984 | $29K |
| 2024 | 1,333 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 688 | 677 | $30K |
| S0621 | Routine ophthalmological exa | 364 | 360 | $15K |
| V2025 | Eyeglasses delux frames | 334 | 331 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 535 | 511 | $14K |
| V2020 | Vision svcs frames purchases | 745 | 705 | $13K |
| V2100 | Lens spher single plano 4.00 | 203 | 196 | $4K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 87 | 84 | $2K |
| 92014 | 13 | 13 | $1K | |
| 92015 | 47 | 47 | $644.18 | |
| V2784 | Lens polycarb or equal | 19 | 19 | $332.34 |