NPI: 1972633543 · NIAGARA FALLS, NY 14303 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 160 | $3K |
| 2019 | 6,608 | $90K |
| 2020 | 6,926 | $90K |
| 2021 | 9,536 | $154K |
| 2022 | 11,667 | $177K |
| 2023 | 10,465 | $177K |
| 2024 | 9,449 | $208K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 8,659 | 4,301 | $191K |
| 99204 | 1,495 | 1,478 | $122K | |
| V2020 | Vision svcs frames purchases | 9,881 | 9,551 | $121K |
| 99214 | 1,989 | 1,838 | $105K | |
| 92004 | 2,087 | 2,073 | $97K | |
| 92014 | 1,970 | 1,947 | $83K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,990 | 1,940 | $81K |
| V2200 | Lens spher bifoc plano 4.00d | 2,037 | 1,025 | $61K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 725 | 355 | $20K |
| 92341 | 345 | 343 | $7K | |
| V2784 | Lens polycarb or equal | 18,445 | 8,913 | $5K |
| 92340 | 361 | 351 | $5K | |
| S0580 | Polycarb lens | 40 | 40 | $592.60 |
| 92133 | 17 | 17 | $502.45 | |
| 92015 | 26 | 26 | $213.74 | |
| V2745 | Tint, any color/solid/grad | 2,599 | 1,252 | $3.84 |
| 2022F | 145 | 144 | $0.00 |