NPI: 1730265562 · GRAFTON, WV 26354 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,048 | $26K |
| 2019 | 620 | $21K |
| 2020 | 972 | $29K |
| 2021 | 488 | $19K |
| 2022 | 690 | $26K |
| 2023 | 832 | $30K |
| 2024 | 130 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 661 | 624 | $48K | |
| V2020 | Vision svcs frames purchases | 570 | 540 | $31K |
| 99214 | 239 | 224 | $15K | |
| 92015 | 1,200 | 1,119 | $14K | |
| 92004 | 140 | 135 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 283 | 221 | $8K |
| S0580 | Polycarb lens | 248 | 231 | $7K |
| 92250 | 227 | 218 | $5K | |
| 99203 | 80 | 70 | $4K | |
| G8427 | Docrev cur meds by elig clin | 537 | 478 | $4K |
| G8417 | Calc bmi abv up param f/u | 346 | 306 | $3K |
| 1036F | 233 | 206 | $2K | |
| T1015 | Clinic service | 16 | 12 | $0.00 |