NPI: 1629029400 · BEREA, KY 40403 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,350 | $86K |
| 2019 | 1,925 | $96K |
| 2020 | 1,169 | $56K |
| 2021 | 2,505 | $103K |
| 2022 | 2,693 | $108K |
| 2023 | 3,317 | $114K |
| 2024 | 4,362 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,384 | 2,322 | $209K | |
| 92014 | 3,029 | 2,944 | $194K | |
| 92340 | 3,147 | 3,086 | $167K | |
| 92341 | 771 | 753 | $43K | |
| 92015 | 1,581 | 1,524 | $24K | |
| V2020 | Vision svcs frames purchases | 2,509 | 1,405 | $8K |
| 92012 | 181 | 176 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,146 | 635 | $5K |
| 99213 | 104 | 94 | $4K | |
| S0516 | Safety frames | 193 | 192 | $3K |
| S0504 | Singl prscrp lens | 212 | 211 | $2K |
| V2784 | Lens polycarb or equal | 1,120 | 569 | $2K |
| 92002 | 18 | 18 | $930.06 | |
| S9999 | Sales tax | 369 | 368 | $770.61 |
| V2781 | Progressive lens per lens | 26 | 13 | $585.00 |
| 99212 | 13 | 12 | $341.88 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 12 | $96.00 |
| 2023F | 40 | 39 | $0.00 | |
| 1036F | 236 | 217 | $0.00 | |
| G8397 | Dil macula/fundus exam/w doc | 160 | 153 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 17 | 16 | $0.00 |
| 2022F | 12 | 12 | $0.00 | |
| 2027F | 29 | 29 | $0.00 |