NPI: 1811242357 · VICKSBURG, MS 39183 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,312 | $57K |
| 2019 | 1,727 | $77K |
| 2020 | 1,664 | $67K |
| 2021 | 2,314 | $99K |
| 2022 | 4,172 | $166K |
| 2023 | 2,678 | $98K |
| 2024 | 2,828 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,835 | 2,578 | $254K | |
| V2020 | Vision svcs frames purchases | 3,904 | 3,660 | $122K |
| 92004 | 720 | 675 | $81K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,672 | 2,505 | $76K |
| 92340 | 3,627 | 3,399 | $74K | |
| 92015 | 1,808 | 1,635 | $25K | |
| 92250 | 616 | 560 | $18K | |
| V2100 | Lens spher single plano 4.00 | 414 | 398 | $14K |
| 92012 | 22 | 22 | $2K | |
| V2784 | Lens polycarb or equal | 36 | 35 | $647.90 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 12 | $558.54 |
| 92341 | 15 | 14 | $432.77 | |
| V2107 | Spherocylinder 4.25d/12-2d | 13 | 13 | $389.82 |