RAUL A. TREVINO OD PA
NPI: 1932246758
· SAN ANTONIO, TX 78213
· Optometrist
· NPI assigned 01/31/2007
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | OSSORIO, EUDE (CONSULTANT) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: OSSORIO, EUDE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
158 |
$5K |
| 2021 |
1,614 |
$49K |
| 2022 |
1,642 |
$48K |
| 2023 |
1,274 |
$37K |
| 2024 |
657 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,331 |
1,313 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,687 |
1,632 |
$30K |
| V2020 |
Frames, purchases |
1,270 |
1,222 |
$23K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
504 |
499 |
$22K |
| V2025 |
Deluxe frame |
287 |
284 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
154 |
151 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
46 |
$2K |
| 92015 |
Determination of refractive state |
64 |
62 |
$323.26 |