Amaral, Carmen

Amaral, Carmen was paid $673K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 35% of everything it billed.

33Billing provider infoAMARAL, CARMEN
SAN JUAN, PR 00925

33aNPI1114915311assigned 10/11/2005

33bProvider typeOphthalmology Physician

28Total paid$673K

24GClaims13,004

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#32 of 141

Median peer was paid$163K

This provider vs. median4.1×

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	2,499	$127K
2019	2,317	$101K
2020	2,000	$104K
2021	1,837	$120K
2022	1,677	$68K
2023	1,618	$90K
2024incomplete	1,056	$63K

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	35%	4,715	4,398	$235K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	31%	290	272	$211K
92015	Determination of refractive state	15%	4,368	4,119	$101K
92002		14%	2,269	2,172	$91K
76519		3.4%	233	224	$23K
92133		1.5%	548	519	$10K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	13	12	$1K
92083		<1%	43	41	$1K
99024		<1%	525	373	$378.57

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.