NPI: 1891930756 · JAMAICA, NY 11432 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 96 | $2K |
| 2019 | 590 | $17K |
| 2020 | 1,705 | $73K |
| 2021 | 3,574 | $143K |
| 2022 | 2,837 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 883 | 883 | $61K | |
| 92250 | 1,173 | 1,171 | $58K | |
| 76512 | 553 | 530 | $53K | |
| 92083 | 972 | 967 | $51K | |
| 92286 | 563 | 563 | $49K | |
| 92285 | 1,178 | 1,173 | $15K | |
| 92015 | 1,192 | 1,191 | $14K | |
| 92060 | 307 | 307 | $11K | |
| 92014 | 128 | 128 | $7K | |
| 92340 | 534 | 534 | $7K | |
| V2020 | Vision svcs frames purchases | 659 | 659 | $4K |
| 92020 | 211 | 209 | $3K | |
| 68801 | 30 | 30 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 235 | 235 | $2K |
| V2100 | Lens spher single plano 4.00 | 108 | 108 | $837.00 |
| 92341 | 27 | 27 | $486.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 25 | 25 | $414.00 |
| 92025 | 12 | 12 | $271.73 | |
| S0580 | Polycarb lens | 12 | 12 | $198.00 |