Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Garcia, Leslie

Garcia, Leslie was paid $58K by Medicaid between Feb 2018 and Mar 2024, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 62% of everything it billed.

33Billing provider infoGARCIA, LESLIE
AIBONITO, PR 00705
33aNPI1093706673assigned 11/02/2005
33bProvider typeOptometrist
28Total paid$58K
24GClaims3,484
24DCodes billed7
24AFirst – last monthFeb 2018 – Mar 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#128 of 299
Median peer was paid$40K
This provider vs. median1.4×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018597$10K
2019652$10K
2020594$8K
2021979$16K
2022507$9K
2023124$4K
2024incomplete31$883.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 62% 1,251 1,233 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 22% 503 501 $12K
92002 14% 287 285 $8K
V2020 Frames, purchases 1.7% 857 853 $1K
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 0% 190 189 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 146 146 $0.00
V2744 Tint, photochromatic, per lens 0% 250 249 $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.