NPI: 1922237866 · JACKSON HEIGHTS, NY 11372 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,163 | $30K |
| 2019 | 2,412 | $37K |
| 2020 | 1,948 | $35K |
| 2021 | 4,138 | $58K |
| 2022 | 3,630 | $60K |
| 2023 | 3,093 | $48K |
| 2024 | 25 | $921.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,058 | 1,055 | $49K | |
| 92004 | 733 | 733 | $49K | |
| V2020 | Vision svcs frames purchases | 4,018 | 3,993 | $47K |
| 92340 | 2,040 | 2,039 | $27K | |
| V2100 | Lens spher single plano 4.00 | 1,530 | 982 | $23K |
| 92015 | 2,047 | 2,025 | $17K | |
| 92341 | 739 | 734 | $13K | |
| S0580 | Polycarb lens | 634 | 631 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 324 | 205 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 983 | 893 | $9K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 421 | 397 | $8K |
| V2784 | Lens polycarb or equal | 1,115 | 634 | $7K |
| 2023F | 457 | 455 | $0.00 | |
| V2755 | Uv lens/es | 310 | 154 | $0.00 |