Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rivera Alonso, Carlos

Rivera Alonso, Carlos was paid $407K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 41% of everything it billed.

33Billing provider infoRIVERA ALONSO, CARLOS
JUNCOS, PR 00777
33aNPI1104823186assigned 07/05/2005
33bProvider typeOptometrist
28Total paid$407K
24GClaims9,327
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#24 of 299
Median peer was paid$40K
This provider vs. median10×

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$10K$20K$30K2018201920202021202220232024
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
20181,575$63K
20192,014$75K
20201,229$55K
20211,230$60K
20221,052$52K
2023736$32K
2024incomplete1,491$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 41% 4,283 3,717 $168K
92002 31% 2,702 2,383 $128K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 22% 1,756 1,463 $89K
92250 3.1% 359 293 $13K
V2020 Frames, purchases 2.5% 227 208 $10K

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.