CDT GMSP, INC
NPI: 1528409653
· BAYAMON, PR 00961
· Optometrist
· NPI assigned 07/17/2013
$458K
Total Medicaid Paid
Provider Details
| Authorized Official | ZAYAS-TORO, ILIA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/17/2013 |
Related Entities
Other providers sharing the same authorized official: ZAYAS-TORO, ILIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,282 |
$46K |
| 2019 |
3,016 |
$45K |
| 2020 |
2,123 |
$67K |
| 2021 |
2,368 |
$98K |
| 2022 |
2,806 |
$117K |
| 2023 |
1,782 |
$74K |
| 2024 |
274 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,637 |
5,195 |
$264K |
| 92015 |
Determination of refractive state |
8,100 |
7,254 |
$148K |
| 92002 |
|
2,828 |
2,443 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
43 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$0.00 |