CLINICA OFTALMICA DE LA MONTANA, C.S.P.
NPI: 1457328312
· AIBONITO, PR 00705
· Exclusive Provider Organization
· NPI assigned 02/28/2006
$1.99M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,290 |
$256K |
| 2019 |
4,379 |
$251K |
| 2020 |
4,604 |
$305K |
| 2021 |
4,441 |
$344K |
| 2022 |
4,035 |
$291K |
| 2023 |
3,426 |
$269K |
| 2024 |
2,323 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,574 |
11,078 |
$1.16M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
429 |
392 |
$274K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,663 |
1,416 |
$206K |
| 92015 |
Determination of refractive state |
6,062 |
5,342 |
$183K |
| 92002 |
|
1,216 |
1,047 |
$58K |
| 92136 |
|
549 |
500 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
830 |
706 |
$26K |
| 92250 |
|
607 |
493 |
$20K |
| 92202 |
|
1,183 |
1,002 |
$8K |
| 92083 |
|
125 |
106 |
$6K |
| 76514 |
|
476 |
375 |
$4K |
| 92226 |
|
1,210 |
644 |
$2K |
| 92133 |
|
65 |
52 |
$2K |
| 92134 |
|
53 |
37 |
$2K |
| 99201 |
|
64 |
64 |
$1K |
| 92225 |
|
164 |
107 |
$1K |
| 92201 |
|
37 |
15 |
$76.16 |
| 92020 |
|
15 |
12 |
$20.10 |
| 83861 |
|
176 |
61 |
$0.00 |