NPI: 1730160763 · CHARLEROI, PA 15022 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 408 | $17K |
| 2021 | 1,986 | $78K |
| 2022 | 1,976 | $79K |
| 2023 | 2,260 | $87K |
| 2024 | 1,185 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,056 | 2,033 | $128K |
| S0621 | Routine ophthalmological exa | 1,990 | 1,988 | $60K |
| V2100 | Lens spher single plano 4.00 | 1,574 | 1,549 | $49K |
| S0620 | Routine ophthalmological exa | 658 | 658 | $20K |
| 92012 | 657 | 616 | $19K | |
| V2784 | Lens polycarb or equal | 404 | 394 | $9K |
| 92250 | 171 | 168 | $8K | |
| 92014 | 120 | 119 | $5K | |
| 92133 | 134 | 133 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 26 | $1K |
| S0500 | Dispos cont lens | 13 | 13 | $815.99 |
| 92083 | 12 | 12 | $812.68 |