NPI: 1972616134 · ANTHONY, TX 79821 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,355 | $85K |
| 2019 | 3,273 | $82K |
| 2020 | 1,667 | $39K |
| 2021 | 1,190 | $29K |
| 2022 | 1,412 | $46K |
| 2023 | 881 | $24K |
| 2024 | 328 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,413 | 1,412 | $98K | |
| S0620 | Routine ophthalmological exa | 1,524 | 1,505 | $63K |
| 92340 | 1,789 | 1,782 | $39K | |
| V2100 | Lens spher single plano 4.00 | 1,753 | 1,717 | $35K |
| V2020 | Vision svcs frames purchases | 2,060 | 2,021 | $33K |
| V2025 | Eyeglasses delux frames | 414 | 409 | $12K |
| 92014 | 125 | 125 | $11K | |
| V2784 | Lens polycarb or equal | 423 | 422 | $11K |
| 92015 | 1,372 | 1,372 | $6K | |
| 92012 | 91 | 91 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 129 | 128 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 13 | 13 | $576.50 |