Medicaid Provider Spending

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

PERFECT VISION INC

NPI: 1750977906 · SAN JUAN, PR 00911 · Technician/Technologist · NPI assigned 12/11/2020

$7K
Total Medicaid Paid
325
Total Claims
320
Beneficiaries
5
Codes Billed
2021-12
First Month
2024-01
Last Month

Provider Details

Authorized OfficialREYES, AGUEDITA (OWNER)
NPI Enumeration Date12/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 48 $625.00
2022 187 $4K
2023 64 $2K
2024 26 $760.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 115 114 $4K
92015 Determination of refractive state 115 114 $3K
V2025 Deluxe frame 54 53 $0.00
V2799 Vision item or service, miscellaneous 25 24 $0.00
V2744 Tint, photochromatic, per lens 16 15 $0.00