Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › CANOVANAS › JTR OPTICAL CENTER

JTR OPTICAL CENTER

NPI: 1528047446 · CANOVANAS, PR 00729 · 152W00000X

$2K
Total Medicaid Paid
224
Total Claims
216
Beneficiaries
6
Codes Billed
2020-01
First Month
2023-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 44 $412.00
2021 92 $356.00
2022 75 $416.50
2023 13 $409.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 26 26 $826.00
92015 16 16 $412.00
92002 14 12 $356.00
V2020 Vision svcs frames purchases 89 87 $0.00
V2200 Lens spher bifoc plano 4.00d 60 58 $0.00
V2744 Tint photochromatic lens/es 19 17 $0.00