Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › MAYAGUEZ › MAYAGUEZ OPTICAL LAB INC

MAYAGUEZ OPTICAL LAB INC

NPI: 1780722454 · MAYAGUEZ, PR 00680 · Eyewear Supplier · NPI assigned 02/02/2007

$70K
Total Medicaid Paid
2,356
Total Claims
1,695
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialVAZQUEZ, KENNETH (PRESIDENT)
NPI Enumeration Date02/02/2007

Related Entities

Other providers sharing the same authorized official: VAZQUEZ, KENNETH

ProviderCityStateTotal Paid
MAYAGUEZ OPTICAL LAB MAYAGUEZ PR $0.00
MAYAGUEZ OPTICAL LABORATORIES, INC. MAYAGUEZ PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,221 $66K
2019 135 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 586 557 $30K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,132 540 $28K
92015 242 226 $5K
92002 209 193 $5K
92100 187 179 $2K