NPI: 1740825223 · MICHIGAN CITY, IN 46360 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,559 | $70K |
| 2021 | 3,698 | $144K |
| 2022 | 2,893 | $114K |
| 2023 | 2,224 | $86K |
| 2024 | 1,230 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,929 | 1,729 | $166K | |
| V2020 | Vision svcs frames purchases | 2,892 | 2,576 | $115K |
| 92014 | 1,274 | 1,160 | $96K | |
| V2100 | Lens spher single plano 4.00 | 1,536 | 1,390 | $51K |
| 92015 | 3,675 | 3,292 | $45K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 232 | 219 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 24 | $961.28 |
| V2750 | Anti-reflective coating | 39 | 39 | $42.08 |