NPI: 1841674520 · MERIDEN, CT 06450 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,976 | $152K |
| 2019 | 4,950 | $138K |
| 2020 | 4,483 | $137K |
| 2021 | 6,339 | $187K |
| 2022 | 6,424 | $165K |
| 2023 | 7,000 | $173K |
| 2024 | 5,857 | $165K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 5,367 | 4,937 | $185K | |
| 92250 | 4,147 | 3,901 | $155K | |
| V2020 | Vision svcs frames purchases | 3,962 | 3,789 | $113K |
| 99214 | 2,242 | 2,034 | $112K | |
| 92340 | 3,506 | 3,350 | $73K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,921 | 2,240 | $68K |
| S0580 | Polycarb lens | 4,105 | 2,053 | $60K |
| 99213 | 1,652 | 1,440 | $54K | |
| 92004 | 727 | 681 | $45K | |
| 83861 | 3,060 | 1,425 | $38K | |
| 99204 | 454 | 425 | $35K | |
| 92014 | 474 | 444 | $23K | |
| 93886 | 163 | 160 | $19K | |
| 95930 | 285 | 264 | $14K | |
| 93892 | 160 | 157 | $14K | |
| 92083 | 395 | 358 | $14K | |
| 93890 | 159 | 156 | $13K | |
| 92273 | 198 | 190 | $13K | |
| 76514 | 1,803 | 1,630 | $11K | |
| 99203 | 206 | 187 | $11K | |
| V2100 | Lens spher single plano 4.00 | 658 | 433 | $11K |
| 92133 | 453 | 417 | $10K | |
| 92260 | 774 | 704 | $6K | |
| 92065 | 248 | 102 | $5K | |
| 92275 | 94 | 88 | $5K | |
| 92341 | 167 | 164 | $4K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 118 | 69 | $3K |
| 92283 | 64 | 60 | $1K | |
| 92060 | 14 | 12 | $364.56 | |
| 92285 | 12 | 12 | $259.54 | |
| 99212 | 12 | 12 | $255.65 | |
| 99211 | 23 | 17 | $188.30 | |
| 0509T | 46 | 41 | $77.28 | |
| 92499 | 332 | 303 | $20.00 | |
| G8428 | Cur meds not document | 14 | 12 | $0.00 |
| G8732 | No doc of pain | 14 | 12 | $0.00 |