CLINICA VISUAL RR LLC
NPI: 1518744820
· LAJAS, PR 00667
· Optometrist
· NPI assigned 09/11/2023
$143K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, ROCIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,969 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
642 |
341 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
414 |
224 |
$31K |
| 92002 |
|
332 |
176 |
$24K |
| 92250 |
|
652 |
346 |
$21K |
| V2020 |
Frames, purchases |
183 |
93 |
$18K |
| 92015 |
Determination of refractive state |
746 |
395 |
$15K |