OPTICAL FACTORY INC
NPI: 1447673397
· ISLA VERDE, PR 00979
· Health Service Clinic/Center
· NPI assigned 01/29/2014
$291K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: VILLALOBOS, CYNTHIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,983 |
$89K |
| 2020 |
2,207 |
$135K |
| 2021 |
1,082 |
$65K |
| 2022 |
49 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,069 |
971 |
$139K |
| 92250 |
|
1,125 |
1,028 |
$54K |
| 92015 |
Determination of refractive state |
1,200 |
1,101 |
$43K |
| 92285 |
|
1,099 |
1,001 |
$19K |
| 92060 |
|
301 |
237 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
196 |
82 |
$7K |
| 92083 |
|
99 |
92 |
$6K |
| V2020 |
Frames, purchases |
145 |
127 |
$5K |
| 92002 |
|
66 |
66 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
16 |
$770.85 |