NPI: 1952410011 · VICKSBURG, MS 39180 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 721 | $35K |
| 2019 | 762 | $34K |
| 2020 | 1,979 | $56K |
| 2021 | 1,679 | $53K |
| 2022 | 2,083 | $50K |
| 2023 | 2,894 | $82K |
| 2024 | 2,207 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,369 | 1,179 | $116K | |
| 92015 | 2,918 | 2,431 | $63K | |
| V2020 | Vision svcs frames purchases | 2,369 | 1,946 | $63K |
| V2100 | Lens spher single plano 4.00 | 1,498 | 1,315 | $57K |
| 92340 | 2,683 | 2,257 | $52K | |
| 92004 | 265 | 197 | $23K | |
| V2784 | Lens polycarb or equal | 939 | 885 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 233 | 110 | $3K |
| 92012 | 26 | 25 | $2K | |
| 92250 | 25 | 14 | $120.98 |