NPI: 1801043641 · STARKE, FL 32091 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,121 | $8K |
| 2020 | 3,725 | $45K |
| 2021 | 1,410 | $29K |
| 2022 | 3,150 | $66K |
| 2023 | 2,256 | $35K |
| 2024 | 147 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,295 | 1,222 | $96K | |
| 92004 | 870 | 836 | $61K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,374 | 1,118 | $15K |
| V2020 | Vision svcs frames purchases | 1,971 | 1,913 | $7K |
| 92015 | 2,537 | 2,437 | $3K | |
| 92340 | 1,627 | 1,587 | $2K | |
| V2100 | Lens spher single plano 4.00 | 100 | 87 | $1K |
| V2784 | Lens polycarb or equal | 691 | 661 | $731.52 |
| 92341 | 187 | 182 | $573.57 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 119 | 90 | $503.98 |
| G0117 | Glaucoma scrn hgh risk direc | 446 | 446 | $0.00 |
| 2022F | 450 | 445 | $0.00 | |
| V2756 | Eye glass case | 486 | 483 | $0.00 |
| 92342 | 492 | 489 | $0.00 | |
| 2023F | 53 | 53 | $0.00 | |
| 3072F | 111 | 111 | $0.00 |