NPI: 1881250256 · KENOSHA, WI 53144 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,693 | $50K |
| 2020 | 1,996 | $59K |
| 2021 | 3,253 | $101K |
| 2022 | 3,920 | $120K |
| 2023 | 4,721 | $146K |
| 2024 | 4,299 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,574 | 4,095 | $179K | |
| V2020 | Vision svcs frames purchases | 5,425 | 4,999 | $172K |
| V2100 | Lens spher single plano 4.00 | 4,371 | 4,042 | $111K |
| 92004 | 1,535 | 1,413 | $62K | |
| V2784 | Lens polycarb or equal | 1,881 | 1,736 | $35K |
| 92340 | 1,035 | 1,024 | $21K | |
| V2200 | Lens spher bifoc plano 4.00d | 378 | 355 | $17K |
| 92015 | 594 | 586 | $6K | |
| 92341 | 76 | 75 | $2K | |
| 92250 | 13 | 13 | $316.05 |