CRUZ-MARTINEZ, WILFREDO
NPI: 1710913538
· CAGUAS, PR 00725
· 152W00000X
$241K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,765 |
$62K |
| 2019 |
1,349 |
$43K |
| 2020 |
1,122 |
$43K |
| 2021 |
1,047 |
$32K |
| 2022 |
703 |
$16K |
| 2023 |
294 |
$11K |
| 2024 |
823 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
|
985 |
931 |
$67K |
| 92015 |
|
3,180 |
2,781 |
$65K |
| 92002 |
|
1,123 |
976 |
$44K |
| V2020 |
Vision svcs frames purchases |
541 |
493 |
$34K |
| 92250 |
|
659 |
438 |
$20K |
| 92012 |
|
145 |
137 |
$6K |
| 92060 |
|
88 |
86 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
17 |
12 |
$544.00 |
| V2784 |
Lens polycarb or equal |
17 |
12 |
$544.00 |
| V2750 |
Anti-reflective coating |
29 |
24 |
$68.00 |
| V2744 |
Tint photochromatic lens/es |
53 |
53 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
64 |
64 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
88 |
88 |
$0.00 |
| 2022F |
|
114 |
114 |
$0.00 |