Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Instituto Cirugia Orbitofacial, CSP

Instituto Cirugia Orbitofacial, CSP was paid $52K by Medicaid between Feb 2018 and Oct 2024, across 6 billing codes. Its largest line is 92060, — 35% of everything it billed.

33Billing provider infoINSTITUTO CIRUGIA ORBITOFACIAL, CSP
GUAYNABO, PR 00968
33aNPI1043498918assigned 02/04/2008
33bProvider typeSpecialist
28Total paid$52K
24GClaims1,830
24DCodes billed6
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#126 of 316
Median peer was paid$26K
This provider vs. median2.0×

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

$0$5.0K$10K2018201920202021202220232024
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
2018467$9K
2019325$7K
202081$2K
202160$2K
2022379$11K
2023146$5K
2024incomplete372$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92060 35% 613 483 $18K
92015 Determination of refractive state 19% 529 420 $10K
92201 18% 286 208 $9K
92002 11% 177 152 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 10% 111 80 $5K
92225 6.8% 114 99 $4K

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 officialPOU, CARLOS (CHIEF MEDICAL DIRECTOR)