Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CIDRA OPTICAL

NPI: 1235365727 · CIDRA, PR 00739 · Optician · NPI assigned 06/10/2009

$107K
Total Medicaid Paid
3,506
Total Claims
2,763
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialALVAREZ, MELVIN (OPTIC)
NPI Enumeration Date06/10/2009

Related Entities

Other providers sharing the same authorized official: ALVAREZ, MELVIN

ProviderCityStateTotal Paid
CAYEY OPTICAL OUTLET, INC CAYEY PR $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,400 $66K
2019 950 $34K
2020 118 $6K
2021 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 666 623 $60K
92002 743 702 $26K
92015 Determination of refractive state 878 822 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 101 92 $630.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,118 524 $353.32