Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

New Vision Medical Diagnostic LLC

New Vision Medical Diagnostic LLC was paid $291K by Medicaid between Jan 2018 and Nov 2024, across 83 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 60% of everything it billed.

33Billing provider infoNEW VISION MEDICAL DIAGNOSTIC LLC
BAYAMON, PR 00960
33aNPI1891043337assigned 08/15/2012
28Total paid$291K
24GClaims741,422
24DCodes billed83
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Puerto Rico

Rank by total paid#12 of 53
Median peer was paid$44K
This provider vs. median6.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official VARGAS, JOSE controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201890,805$3K
201966,351$14K
2020100,820$46K
202173,067$58K
202284,530$24K
2023124,482$74K
2024incomplete201,367$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 60% 34,099 31,155 $176K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 944 506 $44K
96160 7.9% 764 635 $23K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.5% 174 124 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 75,481 60,768 $13K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 1,181 1,027 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 32,673 27,678 $3K
99441 <1% 5,055 4,674 $1K
76536 <1% 157 156 $765.04
0012A <1% 16 16 $600.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,097 1,035 $553.00
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 40 40 $222.38
71 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,046 $118.45
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 973 $23.69
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 407 $23.69
97802 <1% 30 $14.63
99443 <1% 178 $0.12
90791 Psychiatric diagnostic evaluation <1% 872 $0.08
90834 Psychotherapy session, about 45 minutes <1% 2,864 $0.07
90847 Family psychotherapy with the patient present, 50 minutes <1% 58 $0.02
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 118 $0.01
3725F 0% 27,665 $0.00
3078F 0% 36,140 $0.00
1159F 0% 23,178 $0.00
1160F 0% 34,640 $0.00
3077F 0% 7,890 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 977 $0.00
90837 Psychotherapy session, about an hour 0% 1,793 $0.00
1090F 0% 2,461 $0.00
1033F 0% 32,200 $0.00
0521F 0% 15,746 $0.00
99401 0% 700 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 914 $0.00
3028F 0% 1,212 $0.00
1100F 0% 1,489 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 1,079 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 480 $0.00
90832 Psychotherapy session, about 30 minutes 0% 61 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 220 $0.00
3050F 0% 97 $0.00
4035F 0% 91 $0.00
1158F 0% 268 $0.00
3045F 0% 46 $0.00
3046F 0% 50 $0.00
2028F 0% 38 $0.00
99397 0% 127 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 0% 26 $0.00
99408 0% 19 $0.00
99499 0% 25 $0.00
2010F 0% 79,275 $0.00
2000F 0% 49,584 $0.00
2001F 0% 60,881 $0.00
3008F 0% 61,865 $0.00
3014F 0% 2,429 $0.00
1101F 0% 18,789 $0.00
3074F 0% 40,019 $0.00
3075F 0% 5,203 $0.00
1170F 0% 2,567 $0.00
1157F 0% 186 $0.00
1034F 0% 1,462 $0.00
3079F 0% 13,246 $0.00
1125F 0% 6,451 $0.00
96127 0% 9,627 $0.00
3037F 0% 1,987 $0.00
1126F 0% 19,756 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 6,604 $0.00
3080F 0% 3,785 $0.00
3017F 0% 972 $0.00
99368 0% 191 $0.00
3048F 0% 1,142 $0.00
1036F 0% 1,230 $0.00
3061F 0% 49 $0.00
3035F 0% 1,167 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 0% 30 $0.00
1111F 0% 719 $0.00
99385 0% 116 $0.00
3044F 0% 1,471 $0.00
4037F 0% 374 $0.00
3049F 0% 266 $0.00
1030F 0% 25 $0.00
4010F 0% 55 $0.00
99386 0% 13 $0.00
93000 0% 27 $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 officialVARGAS, JOSE (PRESIDENT)
Parent organization1659503795
Same official

Other billing entities under VARGAS, JOSE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.