NPI: 1841235975 · WELLSVILLE, NY 14895 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 363 | $3K |
| 2019 | 1,067 | $9K |
| 2020 | 1,541 | $19K |
| 2021 | 2,491 | $33K |
| 2022 | 2,338 | $33K |
| 2023 | 3,359 | $54K |
| 2024 | 2,540 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,121 | 1,614 | $64K |
| 92012 | 1,300 | 1,297 | $52K | |
| V2020 | Vision svcs frames purchases | 2,691 | 2,651 | $33K |
| 92002 | 658 | 658 | $27K | |
| 92014 | 176 | 175 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 152 | 82 | $5K |
| V2784 | Lens polycarb or equal | 5,441 | 2,784 | $3K |
| 92004 | 49 | 49 | $2K | |
| S0621 | Routine ophthalmological exa | 12 | 12 | $480.00 |
| 1036F | 18 | 18 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 19 | 19 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 62 | 61 | $0.00 |