Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pagan Silva, Rita

Pagan Silva, Rita was paid $79K by Medicaid between Mar 2018 and Oct 2024, across 9 billing codes. Its largest line is 92002, — 55% of everything it billed.

33Billing provider infoPAGAN SILVA, RITA
PONCE, PR 00730
33aNPI1063472314assigned 03/23/2006
33bProvider typeOptometrist
28Total paid$79K
24GClaims3,725
24DCodes billed9
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#114 of 299
Median peer was paid$40K
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$2.0K$4.0K2018201920202021202220232024
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
2018404$10K
2019823$11K
2020406$15K
20211,407$21K
2022190$3K
2023230$8K
2024incomplete265$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 55% 1,137 1,027 $43K
92015 Determination of refractive state 35% 1,416 1,306 $28K
92283 5.9% 143 133 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.3% 105 105 $3K
V2020 Frames, purchases 0% 387 387 $0.00
V2760 Scratch resistant coating, per lens 0% 134 134 $0.00
V2755 U-v lens, per lens 0% 46 46 $0.00
V2744 Tint, photochromatic, per lens 0% 173 173 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 184 184 $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.