NPI: 1841268034 · ROCKY RIVER, OH 44116 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,381 | $116K |
| 2019 | 3,495 | $112K |
| 2020 | 1,748 | $34K |
| 2021 | 2,371 | $52K |
| 2022 | 1,002 | $22K |
| 2023 | 451 | $4K |
| 2024 | 1,141 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,662 | 4,598 | $191K | |
| 92014 | 2,072 | 2,059 | $90K | |
| 92015 | 4,221 | 4,144 | $40K | |
| 99203 | 231 | 230 | $11K | |
| 99214 | 213 | 209 | $10K | |
| 99213 | 207 | 202 | $8K | |
| 92341 | 200 | 189 | $4K | |
| V2020 | Vision svcs frames purchases | 273 | 261 | $3K |
| 92250 | 66 | 65 | $2K | |
| 99204 | 15 | 15 | $968.77 | |
| 92310 | 13 | 13 | $775.06 | |
| 92340 | 27 | 27 | $582.02 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $298.56 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 17 | $227.72 |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $170.84 |
| 3072F | 189 | 189 | $170.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 12 | 12 | $113.05 |
| 2022F | 1,147 | 1,142 | $20.00 |