Medicaid Provider Spending

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

RGV OPTICAL IMAGES LLC

NPI: 1790361822 · LAREDO, TX 78041 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/19/2021

$2K
Total Medicaid Paid
100
Total Claims
90
Beneficiaries
3
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALEZ, SANDRA (ADMINISTRATOR)
NPI Enumeration Date03/19/2021

Related Entities

Other providers sharing the same authorized official: GONZALEZ, SANDRA

ProviderCityStateTotal Paid
SAN MARCOS MEDICAL GROUP INC. SAN BERNARDINO CA $838K
TRIANGLE EYE INSTITUTE BAKERSFIELD CA $227K
SAN MARCOS MEDICAL GROUP, INC. RIALTO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 100 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 45 45 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 41 31 $865.11
V2784 Lens, polycarbonate or equal, any index, per lens 14 14 $0.00