NPI: 1720153992 · PORT RICHEY, FL 34668 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,364 | $27K |
| 2020 | 246 | $4K |
| 2021 | 1,093 | $20K |
| 2022 | 4,361 | $74K |
| 2023 | 5,668 | $100K |
| 2024 | 3,521 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,194 | 2,057 | $95K | |
| 92004 | 1,276 | 1,183 | $77K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,902 | 1,748 | $56K |
| V2020 | Vision svcs frames purchases | 2,310 | 2,134 | $22K |
| 92340 | 2,714 | 2,486 | $19K | |
| 92015 | 3,416 | 3,202 | $17K | |
| V2100 | Lens spher single plano 4.00 | 634 | 564 | $16K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 153 | 135 | $7K |
| 92341 | 256 | 233 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 50 | 40 | $1K |
| V2599 | Contact lens/es other type | 13 | 12 | $1K |
| V2784 | Lens polycarb or equal | 418 | 362 | $356.50 |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 13 | $184.50 |
| V2025 | Eyeglasses delux frames | 902 | 819 | $-124.00 |