Rivera, Andres
Rivera, Andres was paid $39K by Medicaid between Feb 2018 and Mar 2024, across 15 billing codes. Its largest line is 92015, Determination of refractive state — 47% of everything it billed.
33Billing provider infoRIVERA, ANDRES
CAMUY, PR 00627
CAMUY, PR 00627
33aNPI1053429217assigned 08/28/2006
33bProvider typeOptometrist
28Total paid$39K
24GClaims2,305
24DCodes billed15
24AFirst – last monthFeb 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#152 of 299
Median peer was paid$40K
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 | 961 | $16K | |
| 2019 | 219 | $4K | |
| 2020 | 121 | $2K | |
| 2021 | 459 | $7K | |
| 2022 | 413 | $7K | |
| 2023 | 113 | $3K | |
| 2024incomplete | 19 | $487.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 47% | 648 | 644 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 24% | 277 | 275 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 205 | 204 | $4K |
| 92060 | 5.1% | 38 | 37 | $2K | |
| 92283 | 3.9% | 38 | 37 | $2K | |
| 92081 | 2.5% | 38 | 37 | $973.37 | |
| 92020 | 2.1% | 37 | 36 | $822.88 | |
| 92225 | 1.7% | 30 | 14 | $677.70 | |
| V2020 | Frames, purchases | 1.3% | 484 | 482 | $500.00 |
| 92002 | 1.3% | 12 | 12 | $494.64 | |
| V2781 | Progressive lens, per lens | 0% | 117 | 116 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 217 | 216 | $0.00 |
3 more codes
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.