Managed care
Richard a Portillo O D a Professional Optometric Corporation
Richard a Portillo O D a Professional Optometric Corporation was paid $286.34 by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoRICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
MODESTO, CA 95354
MODESTO, CA 95354
33aNPI1285963769assigned 12/13/2009
33bProvider typePoint of Service
28Total paid$286.34
24GClaims20,671
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#42 of 45
Median peer was paid$42K
This provider vs. median0.0×
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 | 3,596 | $123.99 | |
| 2019 | 3,270 | $162.35 | |
| 2020 | 2,626 | $0.00 | |
| 2021 | 2,658 | $0.00 | |
| 2022 | 3,308 | $0.00 | |
| 2023 | 3,983 | $0.00 | |
| 2024incomplete | 1,230 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 50% | 3,022 | 3,020 | $142.00 |
| V2020 | Frames, purchases | 27% | 4,970 | 4,966 | $76.72 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 4,405 | 4,401 | $38.78 |
| 92015 | Determination of refractive state | 10% | 5,463 | 5,459 | $28.84 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 2,445 | 2,444 | $0.00 |
| 92341 | 0% | 366 | 366 | $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 officialPORTILLO, RICHARD (PRESIDENT)