NPI: 1730143371 · SHREVEPORT, LA 71109 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,659 | $207K |
| 2019 | 6,043 | $205K |
| 2020 | 5,365 | $176K |
| 2021 | 5,373 | $158K |
| 2022 | 6,220 | $170K |
| 2023 | 7,390 | $208K |
| 2024 | 7,156 | $205K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,932 | 4,684 | $284K | |
| V2020 | Vision svcs frames purchases | 13,821 | 12,990 | $273K |
| 92014 | 3,684 | 3,549 | $210K | |
| 92012 | 4,338 | 4,088 | $199K | |
| V2100 | Lens spher single plano 4.00 | 10,005 | 8,720 | $183K |
| V2200 | Lens spher bifoc plano 4.00d | 2,180 | 1,853 | $102K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,043 | 1,980 | $40K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 188 | 185 | $12K |
| V2025 | Eyeglasses delux frames | 277 | 223 | $9K |
| 99211 | 666 | 646 | $8K | |
| V2799 | Misc vision item or service | 280 | 274 | $4K |
| 92340 | 332 | 283 | $3K | |
| 3072F | 1,183 | 1,147 | $1K | |
| 92015 | 277 | 272 | $851.20 |