NPI: 1861443079 · O FALLON, IL 62269 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,020 | $353K |
| 2019 | 18,730 | $414K |
| 2020 | 17,409 | $361K |
| 2021 | 22,064 | $456K |
| 2022 | 16,135 | $349K |
| 2023 | 17,237 | $371K |
| 2024 | 19,313 | $412K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 12,914 | 11,442 | $568K | |
| 92340 | 19,213 | 16,839 | $554K | |
| 92015 | 22,744 | 20,130 | $403K | |
| 92004 | 7,840 | 6,864 | $360K | |
| V2020 | Vision svcs frames purchases | 20,996 | 18,581 | $201K |
| V2100 | Lens spher single plano 4.00 | 13,208 | 11,017 | $192K |
| 92341 | 4,906 | 4,324 | $135K | |
| V2784 | Lens polycarb or equal | 13,582 | 11,759 | $115K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,272 | 5,042 | $58K |
| V2200 | Lens spher bifoc plano 4.00d | 2,411 | 2,050 | $51K |
| 99214 | 844 | 766 | $31K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 658 | 630 | $11K |
| 92250 | 272 | 257 | $10K | |
| 99204 | 149 | 133 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 466 | 450 | $5K |
| 92012 | 106 | 103 | $4K | |
| 99203 | 110 | 106 | $4K | |
| V2025 | Eyeglasses delux frames | 51 | 39 | $3K |
| V2107 | Spherocylinder 4.25d/12-2d | 128 | 128 | $1K |
| 99213 | 38 | 38 | $932.84 |