Ultravision Optical Services
Ultravision Optical Services was paid $1K by Medicaid between Apr 2018 and Jan 2021, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 69% of everything it billed.
33Billing provider infoULTRAVISION OPTICAL SERVICES
NARANJITO, PR 00719
NARANJITO, PR 00719
33aNPI1386962751assigned 05/11/2010
33bProvider typeOptometrist
28Total paid$1K
24GClaims93
24DCodes billed4
24AFirst – last monthApr 2018 – Jan 2021
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#264 of 299
Median peer was paid$40K
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 | 54 | $560.00 | |
| 2021 | 39 | $760.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 69% | 27 | 27 | $911.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 27 | 27 | $409.50 |
| V2020 | Frames, purchases | 0% | 26 | 26 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 13 | 13 | $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 officialROSARIO, YADIRA (OWNER)