NPI: 1972848018 · FORT WAYNE, IN 46816 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,740 | $77K |
| 2019 | 1,941 | $111K |
| 2020 | 1,904 | $110K |
| 2021 | 2,370 | $108K |
| 2022 | 2,398 | $90K |
| 2023 | 2,487 | $105K |
| 2024 | 2,062 | $147K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 3,275 | 3,077 | $361K |
| V2020 | Vision svcs frames purchases | 5,349 | 5,013 | $203K |
| V2755 | Uv lens/es | 4,729 | 4,457 | $108K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,469 | 1,419 | $71K |
| V2430 | Lens variable asphericity bi | 35 | 28 | $4K |
| V2100 | Lens spher single plano 4.00 | 32 | 30 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 13 | $783.53 |