NPI: 1871612408 · KISSIMMEE, FL 34747 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 704 | $13K |
| 2020 | 539 | $11K |
| 2021 | 1,273 | $22K |
| 2022 | 4,275 | $71K |
| 2023 | 2,705 | $47K |
| 2024 | 798 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 952 | 910 | $60K | |
| 92014 | 1,526 | 1,436 | $60K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,054 | 985 | $41K |
| V2100 | Lens spher single plano 4.00 | 227 | 211 | $8K |
| 92015 | 2,642 | 2,509 | $5K | |
| V2020 | Vision svcs frames purchases | 1,134 | 1,063 | $4K |
| 92340 | 1,609 | 1,510 | $3K | |
| 92310 | 19 | 17 | $95.00 | |
| V2784 | Lens polycarb or equal | 166 | 152 | $0.00 |
| V2750 | Anti-reflective coating | 27 | 26 | $0.00 |
| S9986 | Not medically necessary svc | 492 | 473 | $0.00 |
| V2025 | Eyeglasses delux frames | 446 | 412 | $0.00 |