Medicaid Provider Spending

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

GUAYACAN VISUAL CARE MANAGEMENT INC

NPI: 1235523374 · AIBONITO, PR 00705 · Health Maintenance Organization · NPI assigned 03/26/2015

$43K
Total Medicaid Paid
2,334
Total Claims
2,307
Beneficiaries
6
Codes Billed
2018-02
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCOBIAN AYALA, GLADYS (OPTOMETRIST OWNER)
NPI Enumeration Date03/26/2015

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 1,007 990 $28K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 201 199 $6K
92002 250 250 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 136 135 $4K
3072F 14 14 $0.00
V2020 Frames, purchases 726 719 $0.00