NPI: 1841262540 · BERWYN, IL 60402 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,114 | $89K |
| 2019 | 6,124 | $140K |
| 2020 | 1,778 | $60K |
| 2021 | 901 | $27K |
| 2022 | 784 | $23K |
| 2023 | 552 | $18K |
| 2024 | 1,688 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,318 | 2,241 | $109K | |
| 92340 | 2,214 | 2,160 | $63K | |
| 92015 | 3,978 | 3,879 | $61K | |
| 92014 | 1,144 | 1,127 | $52K | |
| V2020 | Vision svcs frames purchases | 1,589 | 1,538 | $33K |
| 92012 | 505 | 444 | $26K | |
| 92341 | 764 | 737 | $22K | |
| V2100 | Lens spher single plano 4.00 | 852 | 809 | $13K |
| V2025 | Eyeglasses delux frames | 205 | 191 | $12K |
| V2784 | Lens polycarb or equal | 712 | 703 | $5K |
| V2200 | Lens spher bifoc plano 4.00d | 264 | 250 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 281 | 281 | $896.92 |
| V2520 | Contact lens hydrophilic | 13 | 13 | $823.99 |
| 92310 | 12 | 12 | $420.00 | |
| V2410 | Lens variab asphericity sing | 14 | 14 | $406.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 76 | 76 | $0.00 |