Garcia, Roberto

Garcia, Roberto was paid $156K by Medicaid between Feb 2018 and Dec 2022, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 47% of everything it billed.

33Billing provider infoGARCIA, ROBERTO
MAYAGUEZ, PR 00680

33aNPI1063477636assigned 04/18/2006

33bProvider typeOphthalmology Physician

28Total paid$156K

24GClaims2,337

24DCodes billed6

24AFirst – last monthFeb 2018 – Dec 2022

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#76 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	78	$3K
2019	572	$37K
2020	523	$49K
2021	565	$29K
2022	599	$39K

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	47%	1,264	1,116	$73K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	36%	103	81	$56K
92002		11%	329	310	$17K
92202		3.5%	452	408	$5K
92225		2.6%	174	87	$4K
92015	Determination of refractive state	<1%	15	15	$600.00

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.