NPI: 1982654901 · WATERTOWN, NY 13601 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 46 | $768.71 |
| 2019 | 536 | $18K |
| 2020 | 2,152 | $63K |
| 2021 | 1,823 | $55K |
| 2022 | 612 | $26K |
| 2023 | 61 | $3K |
| 2024 | 148 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 68761 | 796 | 753 | $62K | |
| 92012 | 1,138 | 1,036 | $44K | |
| 92014 | 260 | 256 | $13K | |
| 92250 | 520 | 501 | $11K | |
| V2100 | Lens spher single plano 4.00 | 500 | 236 | $10K |
| 99214 | 175 | 157 | $9K | |
| V2020 | Vision svcs frames purchases | 455 | 433 | $5K |
| 0507T | 177 | 176 | $4K | |
| 92083 | 135 | 129 | $4K | |
| 99213 | 58 | 56 | $2K | |
| 92133 | 136 | 136 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 30 | 15 | $616.20 |
| 92134 | 38 | 38 | $608.26 | |
| 92285 | 67 | 65 | $419.06 | |
| 92015 | 13 | 12 | $125.64 | |
| V2784 | Lens polycarb or equal | 880 | 423 | $0.00 |