Guerrero, Jose
Guerrero, Jose was paid $105K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 42% of everything it billed.
33Billing provider infoGUERRERO, JOSE
DORADO, PR 00646
DORADO, PR 00646
33aNPI1124102728assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$105K
24GClaims4,460
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#95 of 299
Median peer was paid$40K
This provider vs. median2.6×
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 | 1,332 | $17K | |
| 2019 | 352 | $5K | |
| 2020 | 750 | $21K | |
| 2021 | 728 | $18K | |
| 2022 | 138 | $2K | |
| 2023 | 471 | $17K | |
| 2024incomplete | 689 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 42% | 2,062 | 1,811 | $44K |
| 92002 | 34% | 927 | 807 | $36K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 706 | 632 | $22K |
| V2020 | Frames, purchases | 2.8% | 257 | 252 | $3K |
| V2025 | Deluxe frame | 0% | 97 | 97 | $0.00 |
| V2221 | Lenticular lens, per lens, bifocal | 0% | 25 | 25 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 12 | 12 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 12 | 12 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 202 | 199 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 145 | 145 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 15 | 15 | $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.