Wiley, Grace
Wiley, Grace was paid $234K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92002, — 33% of everything it billed.
33Billing provider infoWILEY, GRACE
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1497805451assigned 01/11/2007
33bProvider typeOptometrist
28Total paid$234K
24GClaims6,232
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#50 of 299
Median peer was paid$40K
This provider vs. median5.9×
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 | 1,501 | $64K | |
| 2019 | 906 | $30K | |
| 2020 | 1,003 | $36K | |
| 2021 | 797 | $30K | |
| 2022 | 790 | $26K | |
| 2023 | 687 | $28K | |
| 2024incomplete | 548 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 33% | 1,707 | 1,621 | $78K | |
| 92015 | Determination of refractive state | 31% | 3,056 | 2,837 | $73K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 488 | 466 | $42K |
| V2020 | Frames, purchases | 7.5% | 275 | 267 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.6% | 168 | 164 | $8K |
| 92250 | 3.1% | 255 | 250 | $7K | |
| 92060 | 2.4% | 163 | 156 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 38 | 38 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 82 | 39 | $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.