NPI: 1952785578 · STOUGHTON, WI 53589 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,827 | $72K |
| 2019 | 4,957 | $124K |
| 2020 | 3,758 | $97K |
| 2021 | 5,639 | $155K |
| 2022 | 5,739 | $159K |
| 2023 | 4,304 | $120K |
| 2024 | 969 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,452 | 5,174 | $206K | |
| 92004 | 2,670 | 2,509 | $120K | |
| 92015 | 6,013 | 5,749 | $105K | |
| 92340 | 2,877 | 2,686 | $80K | |
| 92341 | 1,548 | 1,377 | $41K | |
| 68761 | 626 | 444 | $40K | |
| V2020 | Vision svcs frames purchases | 1,801 | 1,676 | $23K |
| 83861 | 1,047 | 700 | $23K | |
| 92083 | 794 | 742 | $23K | |
| 99213 | 756 | 681 | $19K | |
| V2025 | Eyeglasses delux frames | 390 | 368 | $15K |
| 83516 | 828 | 615 | $10K | |
| 92250 | 275 | 247 | $9K | |
| 99214 | 226 | 213 | $9K | |
| 92133 | 407 | 382 | $8K | |
| V2784 | Lens polycarb or equal | 974 | 776 | $6K |
| 92012 | 315 | 301 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 686 | 561 | $6K |
| 92020 | 127 | 122 | $2K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 180 | 133 | $2K |
| V2100 | Lens spher single plano 4.00 | 137 | 120 | $2K |
| S0621 | Routine ophthalmological exa | 13 | 12 | $577.85 |
| 99072 | 15 | 15 | $10.00 | |
| 3072F | 36 | 31 | $0.00 |