CLINICA OFTALMICA QUADRANGLE PSC
NPI: 1023061694
· CAGUAS, PR 00725
· Ophthalmology Physician
· NPI assigned 05/18/2006
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | JIMENEZ, JOSE (OWNER) |
| NPI Enumeration Date | 05/18/2006 |
Related Entities
Other providers sharing the same authorized official: JIMENEZ, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
449 |
$10K |
| 2019 |
508 |
$16K |
| 2020 |
196 |
$12K |
| 2021 |
573 |
$28K |
| 2022 |
534 |
$29K |
| 2023 |
303 |
$21K |
| 2024 |
561 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |