Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Garcia Espinosa, Filiberto

Garcia Espinosa, Filiberto was paid $236K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92002, — 37% of everything it billed.

33Billing provider infoGARCIA ESPINOSA, FILIBERTO
GURABO, PR 00778
33aNPI1215974845assigned 06/01/2006
33bProvider typeOptometrist
28Total paid$236K
24GClaims7,087
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#47 of 299
Median peer was paid$40K
This provider vs. median5.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,533$37K
20191,353$47K
2020998$35K
2021918$33K
2022771$28K
2023695$31K
2024incomplete819$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 37% 1,895 1,706 $88K
92015 Determination of refractive state 31% 3,457 3,055 $72K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 25% 1,198 1,093 $60K
V2020 Frames, purchases 4.3% 207 203 $10K
92081 2.7% 318 287 $6K
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 0% 12 12 $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.