NPI: 1700909884 · EAST CHICAGO, IN 46312 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 912 | $24K |
| 2019 | 1,871 | $92K |
| 2020 | 1,705 | $90K |
| 2021 | 473 | $22K |
| 2022 | 1,039 | $43K |
| 2023 | 1,337 | $62K |
| 2024 | 563 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,806 | 2,482 | $102K |
| 92004 | 760 | 666 | $81K | |
| 92014 | 868 | 803 | $79K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,121 | 914 | $54K |
| 92015 | 2,185 | 1,951 | $32K | |
| V2410 | Lens variab asphericity sing | 62 | 53 | $8K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 66 | 53 | $4K |
| V2100 | Lens spher single plano 4.00 | 32 | 31 | $1K |