Supplier
For Eyes Optical of Puerto Rico, LLC
For Eyes Optical of Puerto Rico, LLC was paid $4K by Medicaid between Jan 2020 and Mar 2022, across 2 billing codes. Its largest line is 92002, — 54% of everything it billed.
33Billing provider infoFOR EYES OPTICAL OF PUERTO RICO, LLC
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1851869515assigned 11/10/2018
33bProvider typeEyewear Supplier
28Total paid$4K
24GClaims184
24DCodes billed2
24AFirst – last monthJan 2020 – Mar 2022
Compared with peers
Next to other Eyewear Supplier providers in Puerto Rico
Rank by total paid#33 of 39
Median peer was paid$20K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 48 | $1K | |
| 2021 | 70 | $2K | |
| 2022 | 66 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 54% | 92 | 92 | $2K | |
| 92015 | Determination of refractive state | 46% | 92 | 92 | $2K |
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 officialCOSTA, JOSE (CEO)
| Provider | Location | Paid |
|---|---|---|
| For Eyes Optical of PA | Calumet City, IL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.