NPI: 1689898728 · ASTORIA, NY 11103 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,015 | $21K |
| 2019 | 923 | $14K |
| 2020 | 529 | $12K |
| 2021 | 1,081 | $25K |
| 2022 | 974 | $23K |
| 2023 | 462 | $11K |
| 2024 | 33 | $738.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,103 | 2,073 | $35K |
| 92004 | 1,170 | 1,159 | $32K | |
| V2100 | Lens spher single plano 4.00 | 1,184 | 1,166 | $28K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 371 | 369 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 39 | 39 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 52 | 52 | $1K |
| 92002 | 44 | 41 | $1K | |
| V2784 | Lens polycarb or equal | 54 | 53 | $256.00 |