NPI: 1598727943 · NEWBURGH, NY 12550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,664 | $124K |
| 2019 | 3,220 | $147K |
| 2020 | 1,152 | $58K |
| 2021 | 2,220 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,128 | 2,104 | $155K | |
| V2020 | Vision svcs frames purchases | 2,803 | 2,743 | $88K |
| 92014 | 756 | 753 | $65K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,708 | 1,671 | $53K |
| 92015 | 1,376 | 1,372 | $26K | |
| 92340 | 669 | 668 | $16K | |
| V2100 | Lens spher single plano 4.00 | 406 | 391 | $12K |
| S0620 | Routine ophthalmological exa | 106 | 106 | $4K |
| V2784 | Lens polycarb or equal | 252 | 248 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 52 | 51 | $2K |