NPI: 1932574142 · GREENWOOD, IN 46143 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,648 | $130K |
| 2019 | 5,318 | $101K |
| 2020 | 2,622 | $44K |
| 2021 | 4,251 | $112K |
| 2022 | 1,477 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,545 | 2,682 | $136K | |
| V5060 | Behind ear hearing aid | 211 | 197 | $86K |
| 92015 | 5,350 | 3,380 | $46K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,093 | 828 | $43K |
| V5241 | Dispensing fee, monaural | 215 | 200 | $38K |
| 92553 | 1,395 | 1,381 | $32K | |
| V2020 | Vision svcs frames purchases | 1,913 | 1,445 | $27K |
| 92557 | 1,835 | 1,380 | $17K | |
| 92014 | 1,001 | 744 | $12K | |
| 92002 | 204 | 147 | $6K | |
| V5257 | Hearing aid, digit, mon, bte | 17 | 15 | $6K |
| 92012 | 328 | 265 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 117 | 71 | $3K |
| V2784 | Lens polycarb or equal | 31 | 25 | $2K |
| 92551 | 61 | 58 | $469.22 |