Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rodriguez, Janet

Rodriguez, Janet was paid $15K by Medicaid between Feb 2018 and Dec 2022, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 83% of everything it billed.

33Billing provider infoRODRIGUEZ, JANET
GUANICA, PR 00653
33aNPI1043229172assigned 08/07/2006
33bProvider typeOptometrist
28Total paid$15K
24GClaims1,100
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2022
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#194 of 299
Median peer was paid$40K
This provider vs. median0.4×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2018471$7K
2019560$7K
202124$324.00
202245$849.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 83% 419 383 $13K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 16% 90 79 $2K
V2020 Frames, purchases <1% 338 325 $100.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 0% 104 104 $0.00
V2700 Balance lens, per lens 0% 63 53 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 86 85 $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.