NPI: 1649697491 · WEST POINT, NE 68788 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $2K |
| 2019 | 360 | $9K |
| 2020 | 594 | $21K |
| 2021 | 2,250 | $64K |
| 2022 | 4,941 | $138K |
| 2023 | 5,005 | $145K |
| 2024 | 5,342 | $165K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 3,292 | 3,150 | $209K | |
| 92014 | 1,729 | 1,586 | $86K | |
| V2100 | Lens spher single plano 4.00 | 1,796 | 1,750 | $68K |
| 92015 | 3,642 | 3,214 | $51K | |
| 92250 | 874 | 708 | $40K | |
| V2020 | Vision svcs frames purchases | 2,484 | 2,294 | $33K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 804 | 735 | $21K |
| 92004 | 270 | 256 | $18K | |
| 92012 | 181 | 163 | $5K | |
| V2784 | Lens polycarb or equal | 418 | 380 | $5K |
| V2756 | Eye glass case | 2,913 | 2,791 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 25 | 24 | $1K |
| 99213 | 39 | 30 | $1K | |
| 92341 | 14 | 14 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 28 | 28 | $634.43 |
| 92002 | 12 | 12 | $526.35 | |
| T1015 | Clinic service | 18 | 13 | $0.00 |
| 2023F | 19 | 18 | $0.00 |