Fernandez, Rafael
Fernandez, Rafael was paid $188K by Medicaid between Feb 2019 and Dec 2024, across 5 billing codes. Its largest line is 92002, — 45% of everything it billed.
33Billing provider infoFERNANDEZ, RAFAEL
CAROLINA, PR 00985
CAROLINA, PR 00985
33aNPI1235212127assigned 10/23/2006
33bProvider typeOptometrist
28Total paid$188K
24GClaims7,246
24DCodes billed5
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#63 of 299
Median peer was paid$40K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 1,246 | $23K | |
| 2020 | 965 | $17K | |
| 2021 | 1,774 | $51K | |
| 2022 | 1,434 | $39K | |
| 2023 | 1,436 | $44K | |
| 2024incomplete | 391 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 45% | 2,600 | 2,495 | $85K | |
| 92015 | Determination of refractive state | 34% | 2,944 | 2,828 | $64K |
| 92060 | 12% | 814 | 738 | $23K | |
| 92081 | 7.5% | 849 | 777 | $14K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 39 | 37 | $2K |
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.