Medicaid Provider Spending

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

LM CENTRO VISUAL OPTICA L.L.C.

NPI: 1073987541 · BARCELONETA, PR 00617 · Optometrist · NPI assigned 11/21/2015

$16K
Total Medicaid Paid
797
Total Claims
762
Beneficiaries
4
Codes Billed
2018-08
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMOUX, LINES (PRESIDENT)
NPI Enumeration Date11/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $2K
2019 138 $3K
2020 68 $2K
2021 364 $6K
2022 91 $1K
2023 36 $643.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 295 277 $8K
92002 274 257 $8K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 94 94 $0.00
V2020 Frames, purchases 134 134 $0.00