Medicaid Provider Spending

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

CLINICA VISUAL DEL OESTE,CSP

NPI: 1033631056 · AGUADILLA, PR 00603 · Optometrist · NPI assigned 07/11/2017

$7K
Total Medicaid Paid
349
Total Claims
345
Beneficiaries
5
Codes Billed
2020-12
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMALAVE PEREZ, JORGE (DOCTOR/OWNER)
NPI Enumeration Date07/11/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $760.50
2021 269 $4K
2022 28 $760.50
2023 24 $631.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92002 117 115 $4K
92015 Determination of refractive state 117 115 $3K
V2020 Frames, purchases 60 60 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 27 27 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 28 28 $0.00