Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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DR. Manuel M. De LA Rua, O.D., L.L.C.

DR. Manuel M. De LA Rua, O.D., L.L.C. was paid $46K by Medicaid between Apr 2018 and Jul 2022, across 10 billing codes. Its largest line is S0580, Polycarbonate lens (list this code in addition to the basic code for the lens) — 32% of everything it billed.

33Billing provider infoDR. MANUEL M. DE LA RUA, O.D., L.L.C.
KENNER, LA 70065
33aNPI1194140475assigned 02/24/2014
33bProvider typeOptometrist
28Total paid$46K
24GClaims1,656
24DCodes billed10
24AFirst – last monthApr 2018 – Jul 2022
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#325 of 442
Median peer was paid$199K
This provider vs. median0.2×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018722$20K
2019477$17K
2020319$7K
202188$2K
202250$542.54
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 32% 260 216 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 160 143 $12K
V2020 Frames, purchases 20% 585 514 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8.1% 303 259 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.3% 24 24 $2K
92015 Determination of refractive state 3.9% 132 125 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.7% 74 67 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 2.2% 70 70 $1K
V2799 Vision item or service, miscellaneous <1% 33 31 $431.04
2026F 0% 15 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 officialDE LA RUA, DEBORAH (OFFICE MANAGER)