NPI: 1598035057 · TAMPA, FL 33612 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 526 | $9K |
| 2020 | 86 | $2K |
| 2021 | 182 | $2K |
| 2022 | 1,384 | $19K |
| 2023 | 1,345 | $22K |
| 2024 | 742 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 536 | 523 | $42K | |
| 92014 | 179 | 172 | $11K | |
| V2020 | Vision svcs frames purchases | 791 | 769 | $10K |
| 92015 | 892 | 866 | $2K | |
| 92340 | 598 | 580 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 155 | 147 | $0.00 |
| G8397 | Dil macula/fundus exam/w doc | 243 | 238 | $0.00 |
| 92250 | 15 | 14 | $0.00 | |
| 3072F | 28 | 25 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 26 | 25 | $0.00 |
| 2023F | 15 | 14 | $0.00 | |
| 5010F | 787 | 767 | $0.00 |