NPI: 1811948052 · BRONX, NY 10462 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,262 | $123K |
| 2019 | 3,926 | $83K |
| 2020 | 4,978 | $117K |
| 2021 | 8,275 | $223K |
| 2022 | 9,260 | $263K |
| 2023 | 4,692 | $134K |
| 2024 | 835 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 4,584 | 4,505 | $187K | |
| 92004 | 4,115 | 4,053 | $161K | |
| 92014 | 2,496 | 2,430 | $95K | |
| V2020 | Vision svcs frames purchases | 6,086 | 5,909 | $93K |
| 92285 | 2,333 | 2,285 | $83K | |
| 92012 | 1,962 | 1,849 | $62K | |
| 68761 | 827 | 388 | $50K | |
| V2100 | Lens spher single plano 4.00 | 2,309 | 2,196 | $43K |
| 92083 | 1,144 | 1,122 | $40K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,397 | 2,237 | $34K |
| 92133 | 1,229 | 1,209 | $27K | |
| 92340 | 2,492 | 2,471 | $21K | |
| V2784 | Lens polycarb or equal | 2,256 | 2,080 | $20K |
| V2219 | Lens bifocal seg width over | 634 | 620 | $16K |
| 92225 | 350 | 220 | $7K | |
| 92286 | 144 | 141 | $6K | |
| 92341 | 502 | 498 | $6K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 154 | 139 | $4K |
| 92202 | 345 | 216 | $3K | |
| 92060 | 88 | 88 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 41 | 41 | $1K |
| 92025 | 66 | 64 | $1K | |
| 99203 | 24 | 24 | $1K | |
| 76514 | 265 | 258 | $739.40 | |
| 92015 | 63 | 63 | $720.00 | |
| 92134 | 38 | 37 | $526.12 | |
| 92201 | 30 | 29 | $434.14 | |
| 99213 | 12 | 12 | $404.04 | |
| 92020 | 27 | 27 | $244.11 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 15 | $201.50 |
| V2780 | Oversize lens/es | 114 | 114 | $35.00 |
| V2750 | Anti-reflective coating | 74 | 52 | $0.00 |
| 92132 | 12 | 12 | $0.00 |