NPI: 1639169998 · OSWEGO, IL 60543 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 967 | $31K |
| 2019 | 1,863 | $59K |
| 2020 | 2,378 | $75K |
| 2021 | 1,230 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,077 | 910 | $52K | |
| 92014 | 917 | 804 | $44K | |
| 92340 | 1,389 | 1,187 | $42K | |
| 92015 | 2,060 | 1,814 | $38K | |
| V2020 | Vision svcs frames purchases | 334 | 318 | $8K |
| 92341 | 217 | 208 | $7K | |
| 99213 | 237 | 170 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 113 | 106 | $2K |
| 99214 | 28 | 25 | $1K | |
| V2100 | Lens spher single plano 4.00 | 33 | 32 | $562.50 |
| 99212 | 20 | 15 | $479.15 | |
| 3072F | 13 | 13 | $80.05 |