M&M Optical Shop Corp
M&M Optical Shop Corp was paid $213K by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is 92002, — 46% of everything it billed.
33Billing provider infoM&M OPTICAL SHOP CORP
SAN JUAN, PR 00921
SAN JUAN, PR 00921
33aNPI1760465066assigned 11/22/2005
33bProvider typeOptician
28Total paid$213K
24GClaims8,138
24DCodes billed8
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optician providers in Puerto Rico
Rank by total paid#1 of 23
Median peer was paid$13K
This provider vs. median16×
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 | 703 | $8K | |
| 2019 | 46 | $904.50 | |
| 2020 | 430 | $10K | |
| 2021 | 1,609 | $42K | |
| 2022 | 1,884 | $49K | |
| 2023 | 1,679 | $49K | |
| 2024incomplete | 1,787 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 46% | 2,945 | 2,562 | $99K | |
| 92015 | Determination of refractive state | 44% | 4,141 | 3,472 | $94K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.0% | 446 | 356 | $17K |
| 92250 | 1.2% | 100 | 83 | $3K | |
| V2020 | Frames, purchases | <1% | 322 | 305 | $200.00 |
| V2025 | Deluxe frame | 0% | 33 | 33 | $0.00 |
| 3072F | 0% | 107 | 107 | $0.00 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 44 | 44 | $0.00 |
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 officialMEDINA, FRANCIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| J&F Optical Service Incorporated | Dorado, PR | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.