Martinez, Esmeralda
Martinez, Esmeralda was paid $8K by Medicaid between Jun 2018 and Jan 2020, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 66% of everything it billed.
33Billing provider infoMARTINEZ, ESMERALDA
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1184743510assigned 03/28/2007
33bProvider typeOptician
28Total paid$8K
24GClaims475
24DCodes billed6
24AFirst – last monthJun 2018 – Jan 2020
Compared with peers
Next to other Optician providers in Puerto Rico
Rank by total paid#14 of 23
Median peer was paid$13K
This provider vs. median0.6×
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 | 165 | $3K | |
| 2019 | 257 | $4K | |
| 2020 | 53 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 66% | 160 | 160 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 34% | 87 | 87 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 60 | 60 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 14 | 14 | $0.00 |
| V2020 | Frames, purchases | 0% | 121 | 121 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 33 | 33 | $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.