NPI: 1982947628 · PALMDALE, CA 93550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 796 | $21K |
| 2019 | 1,918 | $71K |
| 2020 | 2,025 | $56K |
| 2021 | 1,309 | $31K |
| 2022 | 1,291 | $30K |
| 2023 | 1,536 | $34K |
| 2024 | 1,638 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,448 | 1,437 | $59K | |
| V2020 | Vision svcs frames purchases | 1,810 | 1,791 | $37K |
| 99205 | Prolong outpt/office vis | 451 | 448 | $37K |
| 92225 | 607 | 341 | $32K | |
| 92340 | 1,362 | 1,358 | $29K | |
| 92014 | 569 | 569 | $22K | |
| 92015 | 2,549 | 2,527 | $20K | |
| 92082 | 823 | 815 | $19K | |
| 92004 | 169 | 168 | $7K | |
| 92100 | 208 | 207 | $6K | |
| 99204 | 78 | 76 | $5K | |
| 92020 | 211 | 208 | $4K | |
| 92201 | 60 | 60 | $3K | |
| 99215 | Prolong outpt/office vis | 41 | 38 | $2K |
| 92341 | 50 | 50 | $2K | |
| 92202 | 58 | 58 | $1K | |
| 92083 | 19 | 19 | $416.48 |