NPI: 1710903984 · SCOTTSBLUFF, NE 69361 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,724 | $65K |
| 2019 | 821 | $28K |
| 2020 | 1,175 | $42K |
| 2021 | 2,519 | $94K |
| 2022 | 2,572 | $93K |
| 2023 | 2,308 | $84K |
| 2024 | 1,356 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,409 | 2,313 | $167K | |
| 92014 | 2,675 | 2,541 | $147K | |
| 92015 | 5,768 | 5,394 | $92K | |
| 92340 | 335 | 327 | $25K | |
| 99213 | 350 | 268 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 284 | 278 | $7K |
| V2020 | Vision svcs frames purchases | 379 | 372 | $6K |
| 92250 | 147 | 117 | $5K | |
| 99203 | 62 | 53 | $3K | |
| G9903 | Pt scrn tbco id as non user | 66 | 61 | $0.00 |