NPI: 1881026003 · GONZALES, LA 70737 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 47 | $538.56 |
| 2019 | 1,244 | $27K |
| 2020 | 602 | $12K |
| 2021 | 801 | $10K |
| 2022 | 358 | $2K |
| 2023 | 113 | $1K |
| 2024 | 343 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 396 | 314 | $21K | |
| 92014 | 437 | 364 | $20K | |
| V2020 | Vision svcs frames purchases | 486 | 443 | $6K |
| 99211 | 349 | 329 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 176 | 153 | $3K |
| 99213 | 30 | 24 | $930.28 | |
| 92340 | 77 | 64 | $766.32 | |
| V2799 | Misc vision item or service | 21 | 20 | $215.02 |
| 92015 | 1,536 | 1,271 | $0.00 |