NPI: 1811086119 · SAN ANTONIO, TX 78224 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,264 | $35K |
| 2019 | 1,171 | $33K |
| 2020 | 3,179 | $70K |
| 2021 | 14,700 | $302K |
| 2022 | 12,903 | $293K |
| 2023 | 11,481 | $255K |
| 2024 | 8,927 | $203K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 24,655 | 23,825 | $574K |
| V2020 | Vision svcs frames purchases | 27,180 | 26,170 | $550K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 1,378 | 1,334 | $56K |
| V2200 | Lens spher bifoc plano 4.00d | 203 | 203 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 209 | 205 | $3K |