Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Fajardo › NPI 1518580943

My Optical Factory LLC

My Optical Factory LLC was paid $12K by Medicaid between Mar 2022 and Apr 2024, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 41% of everything it billed.

33Billing provider infoMY OPTICAL FACTORY LLC
FAJARDO, PR 00738
33aNPI1518580943assigned 05/20/2020
28Total paid$12K
24GClaims338
24DCodes billed3
24AFirst – last monthMar 2022 – Apr 2024
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Puerto Rico

Rank by total paid#6 of 10
Median peer was paid$12K
This provider vs. median1.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2022252$8K
2024incomplete86$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 41% 126 84 $5K
92250 40% 106 70 $5K
92285 19% 106 70 $2K

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 (PRESIDENT)
Same official

Other billing entities under VILLALOBOS, CYNTHIA

Full network →
ProviderLocationPaid
Optical Factory INCIsla Verde, PR$291K
Sonoma Family Practice Medical Associates P CSonoma, CA$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.