NPI: 1902868953 · LIBERAL, KS 67901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,871 | $157K |
| 2019 | 4,375 | $150K |
| 2020 | 2,517 | $83K |
| 2021 | 2,416 | $82K |
| 2022 | 3,184 | $112K |
| 2023 | 2,367 | $91K |
| 2024 | 3,654 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,499 | 3,431 | $247K | |
| V2020 | Vision svcs frames purchases | 5,091 | 4,956 | $213K |
| 92004 | 1,381 | 1,357 | $133K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,650 | 2,597 | $102K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,259 | 1,233 | $47K |
| S0580 | Polycarb lens | 3,421 | 3,355 | $33K |
| 92015 | 5,401 | 5,291 | $32K | |
| V2784 | Lens polycarb or equal | 521 | 505 | $15K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 90 | 88 | $4K |
| 99213 | 32 | 29 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $546.60 |
| V2715 | Prism lens/es | 26 | 25 | $407.80 |