Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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The Looks Optical LLC

The Looks Optical LLC was paid $18K by Medicaid between Sep 2021 and Aug 2024, across 2 billing codes. Its largest line is 92002, — 75% of everything it billed.

33Billing provider infoTHE LOOKS OPTICAL LLC
CAGUAS, PR 00725
33aNPI1609413988assigned 12/05/2019
33bProvider typeOptician
28Total paid$18K
24GClaims437
24DCodes billed2
24AFirst – last monthSep 2021 – Aug 2024
Compared with peers

Next to other Optician providers in Puerto Rico

Rank by total paid#11 of 23
Median peer was paid$13K
This provider vs. median1.4×

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$2.0K2018201920202021202220232024
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
2021106$4K
202213$656.36
2023208$8K
2024incomplete110$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 75% 225 193 $13K
92015 Determination of refractive state 25% 212 181 $4K

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 officialMARTINEZ ORTIZ, ELIBET (PRESIDENT/ OPTICIAN)