Vision Outlet LLC

Vision Outlet LLC was paid $137K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92002, — 44% of everything it billed.

33Billing provider infoVISION OUTLET LLC
HUMACAO, PR 00791

33aNPI1750822573assigned 03/13/2017

33bProvider typeHealth Service Clinic/Center

28Total paid$137K

24GClaims4,989

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Puerto Rico

Rank by total paid#14 of 66

Median peer was paid$16K

This provider vs. median8.8×

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

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

Year	Claims	Paid
2018	1,490	$38K
2019	967	$16K
2020	566	$14K
2021	575	$18K
2022	682	$26K
2023	231	$9K
2024incomplete	478	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92002		44%	1,884	1,595	$61K
92015	Determination of refractive state	33%	2,460	2,100	$46K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	11%	238	234	$15K
92250		5.3%	259	230	$7K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.5%	124	122	$6K
V2020	Frames, purchases	1.8%	24	24	$2K

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 officialGOMEZ LOPEZ, JUAN (PRESIDENTE)