Rivera, Carmelo
Rivera, Carmelo was paid $12K by Medicaid between May 2019 and Oct 2023, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 53% of everything it billed.
33Billing provider infoRIVERA, CARMELO
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1073696027assigned 10/23/2006
33bProvider typeOptometrist
28Total paid$12K
24GClaims551
24DCodes billed2
24AFirst – last monthMay 2019 – Oct 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#203 of 299
Median peer was paid$40K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 54 | $2K | |
| 2020 | 141 | $3K | |
| 2021 | 226 | $4K | |
| 2022 | 86 | $2K | |
| 2023 | 44 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 53% | 303 | 300 | $6K |
| 92002 | 47% | 248 | 245 | $6K |
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.