ILKA RODRIGUEZ, CRL
NPI: 1194135277
· GURABO, PR 00778
· Optometrist
· NPI assigned 04/29/2014
$445K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,222 |
$53K |
| 2019 |
2,065 |
$76K |
| 2020 |
871 |
$34K |
| 2021 |
1,383 |
$50K |
| 2022 |
1,508 |
$53K |
| 2023 |
1,402 |
$52K |
| 2024 |
3,670 |
$128K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,070 |
3,100 |
$221K |
| 92015 |
Determination of refractive state |
5,154 |
4,165 |
$103K |
| 92002 |
|
1,131 |
1,061 |
$42K |
| V2020 |
Frames, purchases |
378 |
337 |
$34K |
| 92285 |
|
1,604 |
1,214 |
$24K |
| 92250 |
|
771 |
524 |
$20K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
13 |
13 |
$550.00 |