Optica Del Norte, CSP

Optica Del Norte, CSP was paid $48K by Medicaid between Jan 2018 and Mar 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 57% of everything it billed.

33Billing provider infoOPTICA DEL NORTE, CSP
VEGA BAJA, PR 00693

33aNPI1952580508assigned 10/31/2007

33bProvider typeEyewear Supplier

28Total paid$48K

24GClaims2,594

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Eyewear Supplier providers in Puerto Rico

Rank by total paid#12 of 39

Median peer was paid$20K

This provider vs. median2.4×

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
2018	256	$7K
2019	432	$7K
2020	473	$8K
2021	625	$10K
2022	544	$9K
2023	195	$5K
2024incomplete	69	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	57%	1,070	1,055	$28K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	34%	471	469	$16K
V2020	Frames, purchases	5.3%	518	515	$3K
92002		3.4%	50	50	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	0%	59	59	$0.00
3072F		0%	426	423	$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 officialARMAIZ, RAMON (OPTOMETRIST)