Clinic
Optical Factory INC
Optical Factory INC was paid $291K by Medicaid between Jan 2019 and Feb 2022, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 48% of everything it billed.
33Billing provider infoOPTICAL FACTORY INC
ISLA VERDE, PR 00979
ISLA VERDE, PR 00979
33aNPI1447673397assigned 01/29/2014
33bProvider typeHealth Service Clinic/Center
28Total paid$291K
24GClaims5,321
24DCodes billed10
24AFirst – last monthJan 2019 – Feb 2022
Compared with peers
Next to other Health Service Clinic/Center providers in Puerto Rico
Rank by total paid#8 of 66
Median peer was paid$16K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 1,983 | $89K | |
| 2020 | 2,207 | $135K | |
| 2021 | 1,082 | $65K | |
| 2022 | 49 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 1,069 | 971 | $139K |
| 92250 | 18% | 1,125 | 1,028 | $54K | |
| 92015 | Determination of refractive state | 15% | 1,200 | 1,101 | $43K |
| 92285 | 6.6% | 1,099 | 1,001 | $19K | |
| 92060 | 4.8% | 301 | 237 | $14K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.2% | 196 | 82 | $7K |
| 92083 | 1.9% | 99 | 92 | $6K | |
| V2020 | Frames, purchases | 1.6% | 145 | 127 | $5K |
| 92002 | 1.4% | 66 | 66 | $4K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 21 | 16 | $770.85 |
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 officialVILLALOBOS, CYNTHIA (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| My Optical Factory LLC | Fajardo, PR | $12K |
| Sonoma Family Practice Medical Associates P C | Sonoma, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.