Physician
Guardiola, Alberto
Guardiola, Alberto was paid $84K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoGUARDIOLA, ALBERTO
MAYAGUEZ, PR 00682
MAYAGUEZ, PR 00682
33aNPI1144426230assigned 06/25/2007
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$84K
24GClaims2,204
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Puerto Rico
Rank by total paid#5 of 5
Median peer was paid$1.44M
This provider vs. median0.1×
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 | 2,204 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 44% | 314 | 300 | $37K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 139 | 135 | $19K |
| 92134 | 9.8% | 453 | 440 | $8K | |
| 92226 | 8.7% | 732 | 419 | $7K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 5.4% | 39 | 38 | $4K |
| 92235 | 3.0% | 74 | 73 | $3K | |
| 92225 | 2.9% | 306 | 153 | $2K | |
| 92250 | 2.2% | 76 | 73 | $2K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 36 | 35 | $833.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 23 | 23 | $478.83 |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $354.20 |
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.