NPI: 1972681401 · MCALLEN, TX 78504 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75 | $2K |
| 2019 | 126 | $4K |
| 2020 | 1,122 | $25K |
| 2021 | 6,991 | $152K |
| 2022 | 7,355 | $174K |
| 2023 | 6,589 | $150K |
| 2024 | 4,202 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 4,025 | 4,012 | $168K |
| S0621 | Routine ophthalmological exa | 3,035 | 3,030 | $128K |
| V2020 | Vision svcs frames purchases | 3,807 | 3,792 | $83K |
| V2599 | Contact lens/es other type | 623 | 621 | $50K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,375 | 1,961 | $43K |
| V2100 | Lens spher single plano 4.00 | 1,520 | 889 | $19K |
| 92310 | 573 | 572 | $18K | |
| 92340 | 621 | 620 | $18K | |
| V2755 | Uv lens/es | 3,618 | 3,599 | $16K |
| V2760 | Scratch resistant coating | 3,612 | 3,597 | $16K |
| 92004 | 180 | 179 | $16K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 761 | 498 | $10K |
| 92015 | 636 | 634 | $8K | |
| 92014 | 74 | 74 | $6K |