Caballero-Ramos, Carla
Caballero-Ramos, Carla was paid $72K by Medicaid between Jan 2019 and Sep 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 76% of everything it billed.
33Billing provider infoCABALLERO-RAMOS, CARLA
ORLANDO, FL 32819
ORLANDO, FL 32819
33aNPI1194041236assigned 04/14/2010
33bProvider typeOptometrist
28Total paid$72K
24GClaims3,218
24DCodes billed9
24AFirst – last monthJan 2019 – Sep 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#288 of 941
Median peer was paid$21K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 1,836 | $38K | |
| 2020 | 447 | $11K | |
| 2021 | 30 | $990.00 | |
| 2022 | 222 | $5K | |
| 2023 | 565 | $11K | |
| 2024incomplete | 118 | $6K |
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 | 76% | 869 | 803 | $55K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 165 | 139 | $10K |
| V2020 | Frames, purchases | 4.2% | 493 | 431 | $3K |
| 92310 | 2.4% | 44 | 43 | $2K | |
| 92015 | Determination of refractive state | 2.2% | 690 | 659 | $2K |
| 92002 | 1.3% | 14 | 12 | $940.17 | |
| 2023F | <1% | 154 | 145 | $130.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 379 | 330 | $75.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 410 | 362 | $75.00 |
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.