VISION OUTLET LLC
NPI: 1750822573
· HUMACAO, PR 00791
· Health Service Clinic/Center
· NPI assigned 03/13/2017
$137K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,490 |
$38K |
| 2019 |
967 |
$16K |
| 2020 |
566 |
$14K |
| 2021 |
575 |
$18K |
| 2022 |
682 |
$26K |
| 2023 |
231 |
$9K |
| 2024 |
478 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
1,884 |
1,595 |
$61K |
| 92015 |
Determination of refractive state |
2,460 |
2,100 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
238 |
234 |
$15K |
| 92250 |
|
259 |
230 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
122 |
$6K |
| V2020 |
Frames, purchases |
24 |
24 |
$2K |