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RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
NPI: 1285963769
· MODESTO, CA 95354
· Point of Service
· NPI assigned 12/13/2009
$286.34
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
1,230 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,022 |
3,020 |
$142.00 |
| V2020 |
Frames, purchases |
4,970 |
4,966 |
$76.72 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,405 |
4,401 |
$38.78 |
| 92015 |
Determination of refractive state |
5,463 |
5,459 |
$28.84 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,445 |
2,444 |
$0.00 |
| 92341 |
|
366 |
366 |
$0.00 |