Miranda, Jose

Miranda, Jose was paid $212K by Medicaid between Feb 2018 and Apr 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 82% of everything it billed.

33Billing provider infoMIRANDA, JOSE
BAYAMON, PR 00961

33aNPI1255343323assigned 08/13/2006

33bProvider typeOphthalmology Physician

28Total paid$212K

24GClaims4,813

24DCodes billed9

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#62 of 141

Median peer was paid$163K

This provider vs. median1.3×

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
2018	517	$24K
2019	1,601	$48K
2020	874	$40K
2021	809	$38K
2022	561	$32K
2023	392	$26K
2024incomplete	59	$4K

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	82%	2,628	2,364	$174K
92015	Determination of refractive state	9.0%	588	532	$19K
92002		4.9%	247	231	$10K
92225		1.4%	281	146	$3K
92201		1.1%	265	259	$2K
92250		<1%	85	80	$1K
76514		<1%	312	270	$1K
92202		<1%	118	88	$734.70
92226		<1%	289	126	$299.16

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.