Supplier
Eye Express 20-20
Eye Express 20-20 was paid $28K by Medicaid between Jan 2018 and Sep 2020, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 58% of everything it billed.
33Billing provider infoEYE EXPRESS 20-20
CANOVANAS, PR 00729
CANOVANAS, PR 00729
33aNPI1487866166assigned 05/04/2007
33bProvider typeEyewear Supplier
28Total paid$28K
24GClaims1,053
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Eyewear Supplier providers in Puerto Rico
Rank by total paid#15 of 39
Median peer was paid$20K
This provider vs. median1.4×
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 | 581 | $17K | |
| 2019 | 290 | $6K | |
| 2020 | 182 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 58% | 632 | 598 | $16K |
| 92002 | 42% | 405 | 390 | $12K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 16 | 12 | $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 officialGARCIA, CARMEN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Dela Rua Care, INC | Cutler Bay, FL | $3.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.