Lozada Sierra, Rosa

Lozada Sierra, Rosa was paid $52K by Medicaid between Feb 2022 and Sep 2023, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.

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
2022	478	$34K
2023	290	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	64%	301	285	$33K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	18%	186	152	$9K
92002		12%	116	114	$6K
92015	Determination of refractive state	4.5%	113	107	$2K
92025		<1%	40	36	$471.70
92201		<1%	12	12	$253.81

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.