Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRO OFTALMOLOGICO LOPEZ, PSC

NPI: 1679994321 · AGUADILLA, PR 00603 · Ophthalmology Physician · NPI assigned 12/26/2013

$69K
Total Medicaid Paid
1,122
Total Claims
928
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, RAUL (PRESIDENT)
NPI Enumeration Date12/26/2013

Related Entities

Other providers sharing the same authorized official: LOPEZ, RAUL

ProviderCityStateTotal Paid
WEST TEXAS PAIN INSTITUTE PLLC EL PASO TX $808K
EXPRESS VISION CARE, INC. HIALEAH FL $138K
SIN FRONTERAS HEALTH AND WELLNESS CENTER, INC, A PROFESSIONAL CORPORAT LOS ANGELES CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 268 $13K
2019 88 $4K
2020 51 $3K
2021 85 $5K
2022 86 $6K
2023 239 $16K
2024 305 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 797 643 $54K
92002 152 121 $10K
99201 91 85 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $2K
92015 Determination of refractive state 57 54 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $284.60