Eye Zone C.S.P

Eye Zone C.S.P was paid $151K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 30% of everything it billed.

33Billing provider infoEYE ZONE C.S.P
SAN SEBASTIAN, PR 00685

33aNPI1063784072assigned 02/07/2012

33bProvider typeClinic/Center

28Total paid$151K

24GClaims5,412

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#39 of 117

Median peer was paid$38K

This provider vs. median4.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,264	$22K
2019	1,200	$29K
2020	559	$17K
2021	976	$32K
2022	980	$36K
2023	42	$1K
2024incomplete	391	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	30%	2,224	2,006	$45K
92002		26%	1,361	1,225	$39K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	492	451	$24K
V2020	Frames, purchases	9.8%	369	365	$15K
92225		9.6%	513	417	$15K
92250		8.8%	429	408	$13K
92100		<1%	24	12	$111.36

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialVELEZ QUINTANA, KARLA (PRESIDENT)