NPI: 1982600243 · NEW CASTLE, PA 16105 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 217 | $9K |
| 2021 | 1,116 | $45K |
| 2022 | 950 | $36K |
| 2023 | 966 | $36K |
| 2024 | 1,377 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,400 | 1,342 | $70K |
| V2100 | Lens spher single plano 4.00 | 725 | 599 | $28K |
| S0621 | Routine ophthalmological exa | 787 | 751 | $24K |
| S0620 | Routine ophthalmological exa | 704 | 691 | $21K |
| 92012 | 265 | 260 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 165 | 145 | $5K |
| 92002 | 101 | 98 | $4K | |
| V2784 | Lens polycarb or equal | 302 | 212 | $4K |
| V2025 | Eyeglasses delux frames | 81 | 78 | $4K |
| 92015 | 96 | 93 | $777.35 |