Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Perez, Niset

Perez, Niset was paid $315K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92002, — 23% of everything it billed.

33Billing provider infoPEREZ, NISET
ISABELA, PR 00662
33aNPI1114007499assigned 10/17/2006
33bProvider typeOptometrist
28Total paid$315K
24GClaims10,466
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#33 of 299
Median peer was paid$40K
This provider vs. median7.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,080$41K
20191,555$34K
20201,268$41K
20212,200$76K
20221,361$44K
20231,046$37K
2024incomplete956$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 23% 1,814 1,741 $72K
92015 Determination of refractive state 18% 2,910 2,788 $58K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 15% 919 883 $46K
92202 11% 1,294 1,239 $36K
92081 11% 1,817 1,737 $34K
V2020 Frames, purchases 8.8% 412 402 $28K
92225 7.0% 766 690 $22K
92100 5.5% 482 454 $17K
92226 <1% 52 43 $2K

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.