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

Optica Cdtgmsp

Optica Cdtgmsp was paid $6K by Medicaid between Nov 2018 and Jun 2023, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 51% of everything it billed.

33Billing provider infoOPTICA CDTGMSP
BAYAMON, PR 00961
33aNPI1922302868assigned 01/07/2011
33bProvider typeEyewear Supplier
28Total paid$6K
24GClaims236
24DCodes billed3
24AFirst – last monthNov 2018 – Jun 2023
Compared with peers

Next to other Eyewear Supplier providers in Puerto Rico

Rank by total paid#27 of 39
Median peer was paid$20K
This provider vs. median0.3×

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

$0$1.0K$2.0K2018201920202021202220232024
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
201882$2K
201928$687.20
202296$3K
202330$877.50
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 51% 129 125 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 30% 63 59 $2K
92002 18% 44 44 $1K

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 officialZAYAS, ILIA (DIRECTOR)
Same official

Other billing entities under ZAYAS, ILIA

Full network →
ProviderLocationPaid
CDT GMSP, INCBayamon, PR$4.66M
CDT GMSP INCBayamon, PR$159K
CDT G.M,s.P., INCBayamon, PR$33K
Grupo Medico San Pablo INCBayamon, PR$2K
Cooperativa De Facultad Medica SanacoopBayamon, PR$606.13

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