NPI: 1639128861 · HAYS, KS 67601 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,112 | $30K |
| 2019 | 1,905 | $67K |
| 2020 | 329 | $9K |
| 2021 | 13 | $0.00 |
| 2023 | 36 | $0.00 |
| 2024 | 30 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,082 | 1,040 | $41K |
| V2784 | Lens polycarb or equal | 474 | 459 | $25K |
| 92004 | 225 | 218 | $21K | |
| 92012 | 205 | 202 | $10K | |
| 92015 | 1,242 | 1,189 | $7K | |
| 92014 | 51 | 48 | $2K | |
| G8427 | Docrev cur meds by elig clin | 38 | 37 | $0.00 |
| 1036F | 54 | 51 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 54 | 51 | $0.00 |