Guayacan Visual Care Management INC

Guayacan Visual Care Management INC was paid $43K by Medicaid between Feb 2018 and Dec 2023, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 66% of everything it billed.

33Billing provider infoGUAYACAN VISUAL CARE MANAGEMENT INC
AIBONITO, PR 00705

33aNPI1235523374assigned 03/26/2015

33bProvider typeHealth Maintenance Organization

28Total paid$43K

24GClaims2,334

24DCodes billed6

24AFirst – last monthFeb 2018 – Dec 2023

Compared with peers

Next to other Health Maintenance Organization providers in Puerto Rico

Rank by total paid#15 of 37

Median peer was paid$25K

This provider vs. median1.7×

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

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

Year	Claims	Paid
2018	360	$5K
2019	522	$10K
2020	322	$6K
2021	525	$9K
2022	441	$8K
2023	164	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	66%	1,007	990	$28K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	201	199	$6K
92002		10%	250	250	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	10.0%	136	135	$4K
3072F		0%	14	14	$0.00
V2020	Frames, purchases	0%	726	719	$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 officialCOBIAN AYALA, GLADYS (OPTOMETRIST OWNER)