NPI: 1912960410 · WEST HAVEN, CT 06516 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,080 | $172K |
| 2019 | 5,290 | $165K |
| 2020 | 2,337 | $80K |
| 2021 | 2,642 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 3,223 | 3,067 | $115K | |
| 92014 | 2,362 | 2,189 | $109K | |
| V2020 | Vision svcs frames purchases | 2,607 | 2,446 | $73K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,896 | 1,789 | $62K |
| 92004 | 717 | 671 | $45K | |
| 92340 | 1,950 | 1,857 | $40K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 617 | 561 | $28K |
| 92341 | 558 | 512 | $13K | |
| 99214 | 372 | 269 | $10K | |
| 99213 | 345 | 279 | $8K | |
| 92083 | 139 | 112 | $3K | |
| 92250 | 114 | 94 | $3K | |
| 92133 | 67 | 51 | $1K | |
| 92020 | 108 | 91 | $855.96 | |
| S0580 | Polycarb lens | 14 | 14 | $412.72 |
| G8754 | Dias bp less 90 | 67 | 62 | $0.00 |
| G8752 | Sys bp less 140 | 26 | 25 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 71 | 64 | $0.00 |
| G8731 | Pain neg no plan | 84 | 73 | $0.00 |
| G8783 | Bp scrn perf rec interval | 12 | 12 | $0.00 |