Eyevision Gallery LLC
Eyevision Gallery LLC was paid $10K by Medicaid between Aug 2022 and Mar 2024, across 5 billing codes. Its largest line is 92002, — 44% of everything it billed.
33Billing provider infoEYEVISION GALLERY LLC
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1578134904assigned 07/07/2021
33bProvider typeOptometrist
28Total paid$10K
24GClaims312
24DCodes billed5
24AFirst – last monthAug 2022 – Mar 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#210 of 299
Median peer was paid$40K
This provider vs. median0.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 84 | $4K | |
| 2023 | 180 | $5K | |
| 2024incomplete | 48 | $994.68 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 44% | 101 | 84 | $4K | |
| 92015 | Determination of refractive state | 20% | 99 | 83 | $2K |
| 92250 | 19% | 68 | 30 | $2K | |
| V2020 | Frames, purchases | 12% | 12 | 12 | $1K |
| 92285 | 4.5% | 32 | 12 | $454.80 |
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 officialESPINO TORRES, ISAMALISH (DOCTOR OF OPTOMETRY)