NPI: 1497893341 · HUMACAO, PR 00791 · Optometrist · NPI assigned 02/02/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 624 | $14K |
| 2019 | 152 | $3K |
| 2020 | 61 | $912.45 |
| 2021 | 46 | $1K |
| 2022 | 43 | $649.00 |
| 2023 | 13 | $334.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 483 | 462 | $11K |
| 92002 | 253 | 246 | $6K | |
| V2020 | Frames, purchases | 105 | 104 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 31 | 29 | $793.12 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 39 | 39 | $0.00 |
| V2025 | Deluxe frame | 16 | 16 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $0.00 |