NPI: 1619966728 · SHELBYVILLE, IN 46614 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 468 | $13K |
| 2019 | 1,278 | $64K |
| 2020 | 1,990 | $117K |
| 2021 | 3,584 | $202K |
| 2022 | 4,769 | $256K |
| 2023 | 4,635 | $254K |
| 2024 | 3,907 | $270K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,146 | 3,059 | $390K | |
| 92014 | 2,570 | 2,464 | $257K | |
| V2020 | Vision svcs frames purchases | 4,612 | 4,277 | $227K |
| 92015 | 6,311 | 6,036 | $103K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,898 | 1,771 | $98K |
| V2755 | Uv lens/es | 1,013 | 927 | $26K |
| V2100 | Lens spher single plano 4.00 | 541 | 506 | $24K |
| V2410 | Lens variab asphericity sing | 158 | 129 | $24K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 295 | 255 | $22K |
| V2784 | Lens polycarb or equal | 53 | 38 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 21 | 13 | $1K |
| 92310 | 13 | 13 | $156.00 |