Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › BAYAMON › OPTICA CDTGMSP

OPTICA CDTGMSP

NPI: 1922302868 · BAYAMON, PR 00961 · Eyewear Supplier · NPI assigned 01/07/2011

$6K
Total Medicaid Paid
236
Total Claims
228
Beneficiaries
3
Codes Billed
2018-11
First Month
2023-06
Last Month

Provider Details

Authorized OfficialZAYAS, ILIA (DIRECTOR)
NPI Enumeration Date01/07/2011

Related Entities

Other providers sharing the same authorized official: ZAYAS, ILIA

ProviderCityStateTotal Paid
CDT GMSP, INC BAYAMON PR $4.66M
CDT GMSP INC BAYAMON PR $159K
CDT G.M,S.P., INC BAYAMON PR $33K
GRUPO MEDICO SAN PABLO INC BAYAMON PR $2K
COOPERATIVA DE FACULTAD MEDICA SANACOOP BAYAMON PR $606.13

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $2K
2019 28 $687.20
2022 96 $3K
2023 30 $877.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 129 125 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 63 59 $2K
92002 44 44 $1K