Maldonado-Melendez, Juan

Maldonado-Melendez, Juan was paid $244K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 61% of everything it billed.

33Billing provider infoMALDONADO-MELENDEZ, JUAN
ARECIBO, PR 00612

33aNPI1073711479assigned 07/06/2007

33bProvider typeOphthalmology Physician

28Total paid$244K

24GClaims4,547

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#56 of 141

Median peer was paid$163K

This provider vs. median1.5×

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	1,176	$65K
2019	898	$20K
2020	667	$44K
2021	933	$62K
2022	362	$20K
2023	215	$16K
2024incomplete	296	$18K

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	61%	3,329	3,122	$148K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	26%	101	95	$62K
92250		4.5%	371	362	$11K
92002		4.0%	257	251	$10K
92083		3.6%	289	265	$9K
92133		1.2%	151	139	$3K
92136		<1%	16	13	$757.71
92202		<1%	33	29	$386.60

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.