NPI: 1831562032 · GRAND ISLAND, NE 68803 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,062 | $74K |
| 2019 | 2,919 | $101K |
| 2020 | 3,269 | $111K |
| 2021 | 6,237 | $213K |
| 2022 | 7,031 | $260K |
| 2023 | 7,715 | $292K |
| 2024 | 4,856 | $195K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 5,489 | 5,299 | $421K | |
| 92004 | 2,520 | 2,494 | $179K | |
| 92014 | 2,776 | 2,752 | $167K | |
| V2020 | Vision svcs frames purchases | 6,048 | 5,862 | $119K |
| 92015 | 6,462 | 6,284 | $110K | |
| V2100 | Lens spher single plano 4.00 | 4,600 | 4,440 | $103K |
| V2784 | Lens polycarb or equal | 3,868 | 3,743 | $46K |
| 92341 | 512 | 499 | $41K | |
| 92002 | 465 | 435 | $21K | |
| 92012 | 526 | 466 | $18K | |
| V2200 | Lens spher bifoc plano 4.00d | 454 | 437 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 292 | 290 | $5K |
| 92250 | 77 | 75 | $3K |