GLAUCOMA SPECIALISTS OF PUERTO RICO LLC
NPI: 1104587757
· RIO PIEDRAS, PR 00923
· Ophthalmology Physician
· NPI assigned 01/05/2022
$175K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,418 |
$62K |
| 2023 |
874 |
$63K |
| 2024 |
1,130 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
687 |
564 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
398 |
351 |
$49K |
| 92201 |
|
849 |
660 |
$18K |
| 92134 |
|
470 |
341 |
$14K |
| 92020 |
|
607 |
475 |
$11K |
| 92015 |
Determination of refractive state |
201 |
170 |
$6K |
| 92250 |
|
129 |
110 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
14 |
$2K |
| 92133 |
|
18 |
18 |
$331.87 |
| 76514 |
|
38 |
28 |
$260.71 |