Clinica Oftalmica Quadrangle PSC

Clinica Oftalmica Quadrangle PSC was paid $158K by Medicaid between Feb 2018 and Oct 2024, across 10 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 67% of everything it billed.

33Billing provider infoCLINICA OFTALMICA QUADRANGLE PSC
CAGUAS, PR 00725

33aNPI1023061694assigned 05/18/2006

33bProvider typeOphthalmology Physician

28Total paid$158K

24GClaims3,124

24DCodes billed10

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#75 of 141

Median peer was paid$163K

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
2018	449	$10K
2019	508	$16K
2020	196	$12K
2021	573	$28K
2022	534	$29K
2023	303	$21K
2024incomplete	561	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	67%	1,625	1,397	$106K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	18%	208	154	$29K
92133		6.0%	534	467	$10K
92015	Determination of refractive state	5.8%	302	266	$9K
92250		1.3%	138	136	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	43	41	$1K
92020		<1%	92	90	$457.42
92083		<1%	26	24	$300.00
92225		<1%	55	54	$127.42
83861		0%	101	45	$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 officialJIMENEZ, JOSE (OWNER)

Same official

Other billing entities under JIMENEZ, JOSE

Full network →

Provider	Location	Paid
Hato Rey Medical Gastro,csp	San Juan, PR	$46K

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