Loyola Martinez, Johanna
Loyola Martinez, Johanna was paid $110K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 37% of everything it billed.
33Billing provider infoLOYOLA MARTINEZ, JOHANNA
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1184713158assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$110K
24GClaims3,436
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#92 of 299
Median peer was paid$40K
This provider vs. median2.7×
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 | 771 | $25K | |
| 2019 | 498 | $16K | |
| 2020 | 364 | $11K | |
| 2021 | 315 | $7K | |
| 2022 | 356 | $10K | |
| 2023 | 412 | $16K | |
| 2024incomplete | 720 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 37% | 1,850 | 1,533 | $41K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 595 | 506 | $36K |
| 92250 | 13% | 511 | 390 | $15K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 233 | 220 | $14K |
| V2020 | Frames, purchases | 2.6% | 106 | 99 | $3K |
| 92002 | 1.4% | 56 | 54 | $1K | |
| 92285 | <1% | 41 | 27 | $591.23 | |
| 3072F | 0% | 31 | 31 | $0.00 | |
| V2755 | U-v lens, per lens | 0% | 13 | 13 | $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.