Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLINICA OFTALMICA QUADRANGLE PSC

NPI: 1023061694 · CAGUAS, PR 00725 · Ophthalmology Physician · NPI assigned 05/18/2006

$158K
Total Medicaid Paid
3,124
Total Claims
2,674
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJIMENEZ, JOSE (OWNER)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: JIMENEZ, JOSE

ProviderCityStateTotal Paid
HATO REY MEDICAL GASTRO,CSP SAN JUAN PR $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 449 $10K
2019 508 $16K
2020 196 $12K
2021 573 $28K
2022 534 $29K
2023 303 $21K
2024 561 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,625 1,397 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 208 154 $29K
92133 534 467 $10K
92015 Determination of refractive state 302 266 $9K
92250 138 136 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43 41 $1K
92020 92 90 $457.42
92083 26 24 $300.00
92225 55 54 $127.42
83861 101 45 $0.00