NPI: 1992108120 · LONGVIEW, TX 75601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 191 | $15K |
| 2021 | 1,146 | $85K |
| 2022 | 1,583 | $39K |
| 2023 | 4,333 | $200K |
| 2024 | 2,319 | $128K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,867 | 2,746 | $335K |
| V2100 | Lens spher single plano 4.00 | 1,647 | 1,630 | $37K |
| S0621 | Routine ophthalmological exa | 1,531 | 1,462 | $35K |
| V2020 | Vision svcs frames purchases | 1,714 | 1,693 | $30K |
| S0620 | Routine ophthalmological exa | 1,202 | 1,153 | $27K |
| V2784 | Lens polycarb or equal | 611 | 605 | $5K |