VISTA OPTICA LLC
NPI: 1669130332
· HUMACAO, PR 00791
· Optometrist
· NPI assigned 11/30/2021
$100K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
161 |
$6K |
| 2023 |
463 |
$19K |
| 2024 |
2,281 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
1,008 |
515 |
$52K |
| 92015 |
Determination of refractive state |
1,542 |
767 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
329 |
136 |
$20K |
| 92060 |
|
26 |
26 |
$1K |