Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › MAYAGUEZ › FOR EYES OPTICAL OF PUERTO RICO, LLC

FOR EYES OPTICAL OF PUERTO RICO, LLC

NPI: 1851869515 · MAYAGUEZ, PR 00680 · Eyewear Supplier · NPI assigned 11/10/2018

$4K
Total Medicaid Paid
184
Total Claims
184
Beneficiaries
2
Codes Billed
2020-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialCOSTA, JOSE (CEO)
NPI Enumeration Date11/10/2018

Related Entities

Other providers sharing the same authorized official: COSTA, JOSE

ProviderCityStateTotal Paid
FOR EYES OPTICAL OF PA CALUMET CITY IL $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 48 $1K
2021 70 $2K
2022 66 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92002 92 92 $2K
92015 Determination of refractive state 92 92 $2K