NPI: 1629060199 · MIDLAND, TX 79707 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 431 | $12K |
| 2021 | 2,620 | $72K |
| 2022 | 1,919 | $52K |
| 2023 | 1,210 | $32K |
| 2024 | 467 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 1,379 | 1,362 | $59K |
| S0621 | Routine ophthalmological exa | 1,024 | 1,017 | $43K |
| V2020 | Vision svcs frames purchases | 2,252 | 2,169 | $37K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,077 | 1,039 | $20K |
| V2784 | Lens polycarb or equal | 785 | 753 | $19K |
| V2100 | Lens spher single plano 4.00 | 30 | 27 | $480.12 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 18 | 14 | $294.08 |
| 92015 | 57 | 57 | $15.50 | |
| 92004 | 25 | 25 | $0.00 |