NPI: 1922067016 · PICAYUNE, MS 39466 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,254 | $84K |
| 2019 | 4,025 | $132K |
| 2020 | 2,732 | $122K |
| 2021 | 3,866 | $144K |
| 2022 | 4,297 | $139K |
| 2023 | 4,433 | $113K |
| 2024 | 190 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,919 | 3,569 | $312K | |
| 92004 | 2,285 | 2,037 | $217K | |
| 92015 | 7,318 | 6,337 | $107K | |
| 92340 | 4,211 | 3,690 | $74K | |
| V2020 | Vision svcs frames purchases | 1,315 | 1,034 | $23K |
| 92012 | 387 | 206 | $3K | |
| V2100 | Lens spher single plano 4.00 | 337 | 198 | $2K |
| 99213 | 69 | 52 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 189 | 140 | $768.39 |
| 92250 | 60 | 55 | $737.67 | |
| 83861 | 49 | 15 | $121.38 | |
| 92002 | 53 | 14 | $70.47 | |
| 76514 | 18 | 15 | $36.48 | |
| 2033F | 1,256 | 1,173 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 194 | 181 | $0.00 |
| G8442 | Doc pain as nt perf, not elg | 108 | 103 | $0.00 |
| G9368 | >= 2 same hi-rsk med not ord | 16 | 13 | $0.00 |
| G8421 | Bmi not calculated | 13 | 13 | $0.00 |