NPI: 1861527046 · PORTLAND, TX 78374 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 281 | $5K |
| 2020 | 38 | $1K |
| 2021 | 3,167 | $89K |
| 2022 | 3,211 | $92K |
| 2023 | 3,083 | $88K |
| 2024 | 3,246 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 8,377 | 8,314 | $130K | |
| S0620 | Routine ophthalmological exa | 1,470 | 1,467 | $91K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,436 | 1,428 | $81K |
| V2025 | Eyeglasses delux frames | 1,472 | 1,469 | $49K |
| 92012 | 73 | 53 | $2K | |
| V2784 | Lens polycarb or equal | 15 | 15 | $1K |
| 92014 | 26 | 19 | $844.52 | |
| V2207 | Lens sphcy bifocal 4.25-7d/. | 15 | 15 | $803.66 |
| 92275 | 27 | 17 | $694.60 | |
| 92004 | 40 | 22 | $532.98 | |
| 92250 | 40 | 25 | $481.63 | |
| 92020 | 35 | 23 | $121.77 |