NPI: 1932152741 · NEW YORK, NY 10075 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,307 | $127K |
| 2019 | 7,746 | $100K |
| 2020 | 1,487 | $30K |
| 2021 | 2,465 | $36K |
| 2022 | 1,047 | $21K |
| 2023 | 1,256 | $30K |
| 2024 | 1,233 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 8,779 | 8,537 | $125K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,765 | 4,264 | $84K |
| 92002 | 1,571 | 1,544 | $60K | |
| V2100 | Lens spher single plano 4.00 | 2,762 | 2,241 | $45K |
| V2784 | Lens polycarb or equal | 2,946 | 2,712 | $23K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 769 | 658 | $17K |
| V2200 | Lens spher bifoc plano 4.00d | 323 | 319 | $11K |
| 92004 | 749 | 749 | $4K | |
| 92014 | 742 | 742 | $3K | |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 102 | 98 | $2K |
| S0620 | Routine ophthalmological exa | 116 | 116 | $840.00 |
| 92250 | 12 | 12 | $470.92 | |
| S0621 | Routine ophthalmological exa | 14 | 14 | $80.00 |
| V2755 | Uv lens/es | 1,878 | 939 | $0.00 |
| 92341 | 13 | 12 | $0.00 |