NPI: 1659327054 · DERBY, NY 14047 · Health Maintenance Organization · NPI assigned 05/26/2006
| Authorized Official | JOBA, ROBERT (OWNER OPTOMETRIST) |
| NPI Enumeration Date | 05/26/2006 |
Other providers sharing the same authorized official: JOBA, ROBERT
| Provider | City | State | Total Paid |
|---|---|---|---|
| PARK SHER OPTICAL CO OF BUFFALO NY INC | CHEEKTOWAGA | NY | $451K |
| PARK SHER OPTICAL CO OF BUFFALO NY INC | LACKAWANNA | NY | $77K |
| PARK SHER OPTICAL CO OF BUFFALO NY INC | WEBSTER | NY | $35K |
| PARK SHER OPTICAL CO OF BUFFALO NY INC | BUFFALO | NY | $13K |
| PARK SHER OPTICAL CO OF BUFFALO NY INC | TONAWANDA | NY | $7K |
| PARK SHER OPTICAL CO OF BUFFALO NY INC | WEST SENECA | NY | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 273 | $7K |
| 2019 | 258 | $5K |
| 2020 | 374 | $16K |
| 2021 | 755 | $33K |
| 2022 | 36 | $2K |
| 2023 | 91 | $5K |
| 2024 | 36 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 553 | 546 | $25K |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | 459 | 241 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 211 | 211 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 116 | 116 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 72 | 42 | $2K |
| 92015 | Determination of refractive state | 220 | 219 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 192 | 94 | $0.00 |