NPI: 1811120538 · WESTERLY, RI 02891 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,020 | $29K |
| 2019 | 90 | $3K |
| 2020 | 275 | $10K |
| 2021 | 964 | $33K |
| 2022 | 722 | $25K |
| 2023 | 688 | $24K |
| 2024 | 582 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,121 | 986 | $54K | |
| 92250 | 1,105 | 1,072 | $33K | |
| 92015 | 779 | 754 | $20K | |
| V2112 | Spherocylindr 7.25d/2.25-4d | 241 | 231 | $15K |
| V2020 | Vision svcs frames purchases | 537 | 524 | $9K |
| 92340 | 239 | 229 | $4K | |
| 99204 | 28 | 27 | $3K | |
| 92225 | 102 | 94 | $1K | |
| 92014 | 31 | 29 | $1K | |
| 99203 | 16 | 15 | $1K | |
| 99214 | 18 | 18 | $1K | |
| 92226 | 99 | 90 | $893.54 | |
| 92004 | 13 | 13 | $675.44 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $116.58 |