NPI: 1598834293 · MACHESNEY PARK, IL 61115 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 452 | $14K |
| 2021 | 1,221 | $37K |
| 2022 | 2,830 | $75K |
| 2023 | 3,803 | $98K |
| 2024 | 2,821 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,149 | 2,125 | $100K | |
| 92015 | 3,323 | 3,288 | $56K | |
| 92340 | 1,683 | 1,664 | $50K | |
| 92014 | 1,069 | 1,066 | $47K | |
| V2020 | Vision svcs frames purchases | 1,254 | 1,226 | $27K |
| V2100 | Lens spher single plano 4.00 | 709 | 694 | $12K |
| V2784 | Lens polycarb or equal | 882 | 861 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 27 | $638.22 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 31 | 26 | $332.00 |