Ilka Rodriguez, CRL
Ilka Rodriguez, CRL was paid $445K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 50% of everything it billed.
33Billing provider infoILKA RODRIGUEZ, CRL
GURABO, PR 00778
GURABO, PR 00778
33aNPI1194135277assigned 04/29/2014
33bProvider typeOptometrist
28Total paid$445K
24GClaims13,121
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#22 of 299
Median peer was paid$40K
This provider vs. median11×
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 | 2,222 | $53K | |
| 2019 | 2,065 | $76K | |
| 2020 | 871 | $34K | |
| 2021 | 1,383 | $50K | |
| 2022 | 1,508 | $53K | |
| 2023 | 1,402 | $52K | |
| 2024incomplete | 3,670 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 50% | 4,070 | 3,100 | $221K |
| 92015 | Determination of refractive state | 23% | 5,154 | 4,165 | $103K |
| 92002 | 9.5% | 1,131 | 1,061 | $42K | |
| V2020 | Frames, purchases | 7.7% | 378 | 337 | $34K |
| 92285 | 5.4% | 1,604 | 1,214 | $24K | |
| 92250 | 4.5% | 771 | 524 | $20K | |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | <1% | 13 | 13 | $550.00 |
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.
From NPPES
Who's on the registration
Authorized officialRODRIGUEZ, ILKA (OWNER)