NPI: 1922373000 · BRONX, NY 10472 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,248 | $36K |
| 2019 | 3,070 | $74K |
| 2020 | 3,973 | $105K |
| 2021 | 4,262 | $108K |
| 2022 | 3,875 | $106K |
| 2023 | 5,274 | $169K |
| 2024 | 3,418 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,951 | 1,941 | $141K | |
| 92014 | 2,308 | 2,277 | $135K | |
| 92250 | 2,453 | 2,413 | $114K | |
| V2020 | Vision svcs frames purchases | 5,507 | 5,425 | $62K |
| 92340 | 2,459 | 2,432 | $33K | |
| V2100 | Lens spher single plano 4.00 | 2,255 | 1,321 | $33K |
| 92015 | 2,756 | 2,702 | $33K | |
| 92083 | 630 | 626 | $31K | |
| 68761 | 318 | 230 | $30K | |
| S0580 | Polycarb lens | 1,471 | 1,458 | $24K |
| 92285 | 622 | 621 | $12K | |
| V2784 | Lens polycarb or equal | 238 | 220 | $9K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 26 | 25 | $8K |
| V2102 | Singl visn sphere 7.12-20.00 | 362 | 359 | $7K |
| 92341 | 343 | 342 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 757 | 593 | $6K |
| V2202 | Lens sphere bifocal 7.12-20. | 132 | 132 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 149 | 130 | $3K |
| 92060 | 88 | 87 | $3K | |
| 92012 | 80 | 79 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 61 | 55 | $1K |
| V2101 | Single visn sphere 4.12-7.00 | 87 | 87 | $1K |
| 92202 | 67 | 64 | $972.32 |