NPI: 1700299658 · BLUE ISLAND, IL 60406 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 823 | $32K |
| 2019 | 1,039 | $39K |
| 2020 | 833 | $34K |
| 2021 | 1,250 | $52K |
| 2022 | 2,412 | $81K |
| 2023 | 2,274 | $74K |
| 2024 | 1,942 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,278 | 1,161 | $86K | |
| 92250 | 2,107 | 1,955 | $79K | |
| 92285 | 2,212 | 1,996 | $57K | |
| V2100 | Lens spher single plano 4.00 | 474 | 378 | $27K |
| 92015 | 1,271 | 1,173 | $23K | |
| V2020 | Vision svcs frames purchases | 672 | 656 | $22K |
| 99204 | 283 | 282 | $19K | |
| 92014 | 335 | 276 | $14K | |
| 92004 | 253 | 159 | $11K | |
| 92340 | 472 | 471 | $10K | |
| 92012 | 227 | 174 | $10K | |
| V2784 | Lens polycarb or equal | 496 | 485 | $6K |
| 83861 | 224 | 121 | $3K | |
| V2025 | Eyeglasses delux frames | 160 | 99 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 109 | 105 | $1K |