Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Instituto De Ojos Y Piel, INC

Instituto De Ojos Y Piel, INC was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 24% of everything it billed.

33Billing provider infoINSTITUTO DE OJOS Y PIEL, INC
CAROLINA, PR 00985
33aNPI1073557252assigned 06/16/2006
33bProvider typeOptometrist
28Total paid$3.17M
24GClaims82,353
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#1 of 299
Median peer was paid$40K
This provider vs. median79×

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$50K$100K$150K2018201920202021202220232024
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
20186,211$42K
201911,149$81K
202011,441$273K
202117,631$460K
202215,400$551K
20239,316$755K
2024incomplete11,205$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 24% 1,415 1,180 $775K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 16% 18,429 16,218 $519K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 10,580 8,895 $408K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.5% 4,129 3,588 $303K
67028 Intravitreal injection of a pharmacologic agent 9.2% 2,665 1,950 $291K
92134 6.6% 11,100 8,650 $209K
92250 6.2% 8,873 7,318 $197K
V2632 Posterior chamber intraocular lens 3.8% 619 545 $122K
92015 Determination of refractive state 3.4% 6,545 5,867 $107K
92202 2.2% 7,114 6,037 $69K
92136 1.7% 1,052 921 $55K
J9035 Injection, bevacizumab, 10 mg <1% 470 347 $26K
15 more codes
67228 <1% 40 $23K
C9257 Injection, bevacizumab, 0.25 mg <1% 60 $15K
92235 <1% 177 $13K
92133 <1% 1,049 $11K
92226 <1% 6,144 $8K
92083 <1% 407 $7K
92225 <1% 298 $5K
92020 <1% 510 $4K
99204 Doctor's office visit, new patient (more involved) <1% 25 $3K
J3490 Unclassified drugs <1% 49 $3K
92285 <1% 43 $386.18
92201 <1% 72 $145.57
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 118 $85.21
2025F 0% 93 $0.00
2023F 0% 277 $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.

From NPPES

Who's on the registration

Authorized officialRIVERA FIGUEROA, WANDA (SECRETARIA)