NPI: 1972592277 · JOHNSTOWN, PA 15905 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $1K |
| 2021 | 557 | $26K |
| 2022 | 868 | $50K |
| 2023 | 832 | $53K |
| 2024 | 711 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,576 | 1,178 | $140K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 777 | 583 | $9K |
| S0620 | Routine ophthalmological exa | 208 | 207 | $6K |
| 92014 | 121 | 120 | $5K | |
| V2500 | Contact lens pmma spherical | 64 | 38 | $4K |
| 92015 | 221 | 220 | $994.50 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $874.21 |
| 92340 | 15 | 15 | $150.00 |