Western Optical Outlet, INC
Western Optical Outlet, INC was paid $370.00 by Medicaid between May 2018 and Jan 2019, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoWESTERN OPTICAL OUTLET, INC
HORMIGUEROS, PR 00660
HORMIGUEROS, PR 00660
33aNPI1083613988assigned 07/21/2005
33bProvider typeOptometrist
28Total paid$370.00
24GClaims221
24DCodes billed5
24AFirst – last monthMay 2018 – Jan 2019
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#288 of 299
Median peer was paid$40K
This provider vs. median0.0×
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 | 47 | $370.00 | |
| 2019 | 174 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 76 | 60 | $370.00 |
| V2020 | Frames, purchases | 0% | 59 | 43 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 19 | 13 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 42 | 13 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 25 | 15 | $0.00 |
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 officialCOLON, LIZA (PRESIDENT)