NPI: 1851619167 · WARREN, PA 16365 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 576 | $1K |
| 2019 | 425 | $527.15 |
| 2020 | 109 | $1K |
| 2022 | 12 | $80.00 |
| 2023 | 39 | $680.56 |
| 2024 | 55 | $970.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 103 | 102 | $3K | |
| V2020 | Vision svcs frames purchases | 42 | 42 | $820.00 |
| V2100 | Lens spher single plano 4.00 | 24 | 24 | $607.12 |
| V2784 | Lens polycarb or equal | 40 | 40 | $304.00 |
| 92340 | 12 | 12 | $172.00 | |
| 1036F | 212 | 210 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 236 | 231 | $0.00 |
| 92015 | 236 | 236 | $0.00 | |
| 4040F | 299 | 293 | $0.00 | |
| G8482 | Flu immunize order/admin | 12 | 12 | $0.00 |