FAMILY OPTICAL CENTER INC.
NPI: 1841231180
· SAN GERMAN, PR 00683
· 261Q00000X
$169K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
495 |
$15K |
| 2019 |
804 |
$14K |
| 2020 |
486 |
$7K |
| 2021 |
3,438 |
$40K |
| 2022 |
3,715 |
$63K |
| 2023 |
913 |
$27K |
| 2024 |
153 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
3,069 |
2,941 |
$80K |
| 92012 |
|
1,137 |
1,124 |
$37K |
| 92002 |
|
835 |
801 |
$29K |
| 92250 |
|
331 |
180 |
$7K |
| V2020 |
Vision svcs frames purchases |
1,431 |
1,415 |
$6K |
| 92100 |
|
147 |
100 |
$4K |
| 92060 |
|
131 |
85 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
590 |
589 |
$3K |
| V2199 |
Lens single vision not oth c |
37 |
37 |
$896.78 |
| V2744 |
Tint photochromatic lens/es |
731 |
728 |
$0.00 |
| 92004 |
|
45 |
44 |
$0.00 |
| V2781 |
Progressive lens per lens |
181 |
181 |
$0.00 |
| V2755 |
Uv lens/es |
81 |
79 |
$0.00 |
| V2760 |
Scratch resistant coating |
940 |
937 |
$0.00 |
| V2300 |
Lens sphere trifocal 4.00d |
180 |
180 |
$0.00 |
| V2750 |
Anti-reflective coating |
88 |
88 |
$0.00 |
| 92014 |
|
50 |
49 |
$0.00 |