NPI: 1811125180 · BUFFALO, NY 14210 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,281 | $71K |
| 2019 | 1,632 | $18K |
| 2020 | 1,794 | $15K |
| 2021 | 1,418 | $20K |
| 2022 | 2,940 | $64K |
| 2023 | 3,239 | $68K |
| 2024 | 1,912 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,617 | 1,973 | $50K |
| V2020 | Vision svcs frames purchases | 3,529 | 3,441 | $50K |
| 92014 | 848 | 809 | $38K | |
| 92012 | 665 | 653 | $34K | |
| 92002 | 506 | 500 | $25K | |
| 92004 | 449 | 436 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,058 | 528 | $22K |
| 92340 | 1,403 | 1,386 | $21K | |
| S0580 | Polycarb lens | 1,270 | 1,255 | $16K |
| V2200 | Lens spher bifoc plano 4.00d | 68 | 63 | $2K |
| S0621 | Routine ophthalmological exa | 55 | 53 | $2K |
| S0620 | Routine ophthalmological exa | 49 | 49 | $2K |
| 92015 | 2,266 | 2,103 | $2K | |
| 92341 | 58 | 57 | $1K | |
| V2784 | Lens polycarb or equal | 3,375 | 1,673 | $223.00 |