NPI: 1891108957 · GRANITE CITY, IL 62040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,885 | $53K |
| 2019 | 1,847 | $58K |
| 2020 | 3,093 | $102K |
| 2021 | 4,847 | $177K |
| 2022 | 4,188 | $151K |
| 2023 | 3,345 | $116K |
| 2024 | 3,537 | $118K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,171 | 2,835 | $141K | |
| 92250 | 3,227 | 2,878 | $130K | |
| 92285 | 4,623 | 4,085 | $128K | |
| 68761 | 1,533 | 999 | $98K | |
| 92014 | 2,121 | 1,956 | $85K | |
| 92015 | 4,732 | 4,349 | $83K | |
| 92340 | 2,028 | 1,880 | $59K | |
| 99204 | 347 | 328 | $25K | |
| 92225 | 357 | 209 | $12K | |
| 92341 | 134 | 129 | $4K | |
| 92020 | 218 | 204 | $4K | |
| 92012 | 125 | 121 | $2K | |
| V2020 | Vision svcs frames purchases | 59 | 58 | $1K |
| 92283 | 24 | 15 | $560.63 | |
| 92226 | 30 | 17 | $491.32 | |
| V2106 | Spherocylinder 4.00d/>6.00d | 13 | 12 | $14.00 |