CENTRO VISUAL DR KELVIN ORTIZ PSC
NPI: 1255752960
· VILLALBA, PR 00766
· 261QM2500X
$162K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,920 |
$64K |
| 2019 |
1,897 |
$24K |
| 2020 |
731 |
$13K |
| 2021 |
1,577 |
$25K |
| 2022 |
1,054 |
$23K |
| 2023 |
369 |
$10K |
| 2024 |
99 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
3,074 |
2,916 |
$74K |
| 92002 |
|
1,941 |
1,917 |
$56K |
| V2020 |
Vision svcs frames purchases |
1,287 |
1,195 |
$21K |
| 92012 |
|
372 |
365 |
$11K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
572 |
569 |
$0.00 |
| V2781 |
Progressive lens per lens |
278 |
277 |
$0.00 |
| 92004 |
|
379 |
283 |
$0.00 |
| V2755 |
Uv lens/es |
155 |
155 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
262 |
262 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
312 |
228 |
$0.00 |
| V2784 |
Lens polycarb or equal |
15 |
15 |
$0.00 |