NPI: 1649248774 · HOUMA, LA 70360 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,638 | $179K |
| 2019 | 5,205 | $170K |
| 2021 | 128 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,837 | 1,777 | $137K | |
| 92015 | 2,187 | 2,105 | $50K | |
| V2020 | Vision svcs frames purchases | 2,558 | 2,413 | $34K |
| S0580 | Polycarb lens | 491 | 459 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,405 | 1,348 | $31K |
| 92004 | 302 | 291 | $27K | |
| V2100 | Lens spher single plano 4.00 | 877 | 770 | $15K |
| 99211 | 715 | 661 | $9K | |
| 92012 | 122 | 103 | $6K | |
| 92250 | 131 | 125 | $5K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 129 | 123 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 42 | 40 | $1K |
| 92082 | 41 | 39 | $422.01 | |
| 92340 | 30 | 30 | $371.50 | |
| V2702 | Deluxe lens feature | 43 | 41 | $11.63 |
| V2755 | Uv lens/es | 45 | 44 | $0.00 |
| V2760 | Scratch resistant coating | 16 | 16 | $0.00 |