Optica Prisma
Optica Prisma was paid $39K by Medicaid between Dec 2022 and Dec 2024, across 2 billing codes. Its largest line is 92002, — 72% of everything it billed.
33Billing provider infoOPTICA PRISMA
ANASCO, PR 00610
ANASCO, PR 00610
33aNPI1912653122assigned 02/25/2022
33bProvider typeOptometrist
28Total paid$39K
24GClaims980
24DCodes billed2
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#151 of 299
Median peer was paid$40K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 34 | $823.50 | |
| 2023 | 290 | $11K | |
| 2024incomplete | 656 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 72% | 455 | 325 | $28K | |
| 92015 | Determination of refractive state | 28% | 525 | 364 | $11K |
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 officialMERCADO, KARINA (PRESIDENT)