Clinic
Family Optical Center INC.
Family Optical Center INC. was paid $169K by Medicaid between Jan 2018 and Apr 2024, across 17 billing codes. Its largest line is 92015, Determination of refractive state — 47% of everything it billed.
33Billing provider infoFAMILY OPTICAL CENTER INC.
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1841231180assigned 06/09/2006
33bProvider typeClinic/Center
28Total paid$169K
24GClaims10,004
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#36 of 117
Median peer was paid$38K
This provider vs. median4.5×
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 | 495 | $15K | |
| 2019 | 804 | $14K | |
| 2020 | 486 | $7K | |
| 2021 | 3,438 | $40K | |
| 2022 | 3,715 | $63K | |
| 2023 | 913 | $27K | |
| 2024incomplete | 153 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 47% | 3,069 | 2,941 | $80K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 22% | 1,137 | 1,124 | $37K |
| 92002 | 17% | 835 | 801 | $29K | |
| 92250 | 4.2% | 331 | 180 | $7K | |
| V2020 | Frames, purchases | 3.4% | 1,431 | 1,415 | $6K |
| 92100 | 2.6% | 147 | 100 | $4K | |
| 92060 | 2.0% | 131 | 85 | $3K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.5% | 590 | 589 | $3K |
| V2199 | Not otherwise classified, single vision lens | <1% | 37 | 37 | $896.78 |
| V2744 | Tint, photochromatic, per lens | 0% | 731 | 728 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 45 | 44 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 181 | 181 | $0.00 |
5 more codes
| V2755 | U-v lens, per lens | 0% | 81 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 940 | $0.00 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 0% | 180 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 88 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 50 | $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 officialROBLES, SANTA (PRESIDENT)