NPI: 1972686434 · SCOTTSBLUFF, NE 69361 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 546 | $13K |
| 2019 | 1,017 | $18K |
| 2020 | 1,634 | $30K |
| 2021 | 2,918 | $56K |
| 2022 | 2,734 | $53K |
| 2023 | 1,918 | $36K |
| 2024 | 1,393 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,345 | 6,314 | $111K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,339 | 3,293 | $63K |
| V2100 | Lens spher single plano 4.00 | 1,070 | 1,061 | $21K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 476 | 473 | $20K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 635 | 628 | $10K |
| V2784 | Lens polycarb or equal | 210 | 208 | $3K |
| V2025 | Eyeglasses delux frames | 85 | 85 | $959.00 |