Justiniano, Janice

Justiniano, Janice was paid $140K by Medicaid between Jan 2018 and Dec 2023, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 82% of everything it billed.

33Billing provider infoJUSTINIANO, JANICE
MAYAGUEZ, PR 00680

33aNPI1093802829assigned 10/05/2006

33bProvider typeOphthalmology Physician

28Total paid$140K

24GClaims4,185

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#78 of 141

Median peer was paid$163K

This provider vs. median0.9×

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	1,732	$40K
2019	723	$23K
2020	687	$27K
2021	538	$22K
2022	355	$17K
2023	150	$11K

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	82%	1,753	1,567	$115K
92015	Determination of refractive state	11%	512	447	$16K
92002		2.6%	171	149	$4K
92225		2.5%	305	140	$3K
92226		1.3%	800	377	$2K
92202		0%	644	530	$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.