Clinic
Centro Visual DR Kelvin Ortiz PSC
Centro Visual DR Kelvin Ortiz PSC was paid $162K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 92015, Determination of refractive state — 46% of everything it billed.
33Billing provider infoCENTRO VISUAL DR KELVIN ORTIZ PSC
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1255752960assigned 12/23/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$162K
24GClaims8,647
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#21 of 54
Median peer was paid$61K
This provider vs. median2.6×
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 | 2,920 | $64K | |
| 2019 | 1,897 | $24K | |
| 2020 | 731 | $13K | |
| 2021 | 1,577 | $25K | |
| 2022 | 1,054 | $23K | |
| 2023 | 369 | $10K | |
| 2024incomplete | 99 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 46% | 3,074 | 2,916 | $74K |
| 92002 | 35% | 1,941 | 1,917 | $56K | |
| V2020 | Frames, purchases | 13% | 1,287 | 1,195 | $21K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.8% | 372 | 365 | $11K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 572 | 569 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 278 | 277 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 379 | 283 | $0.00 |
| V2755 | U-v lens, per lens | 0% | 155 | 155 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 262 | 262 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 312 | 228 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 15 | 15 | $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.
From NPPES
Who's on the registration
Authorized officialORTIZ, KELVIN (PRESIDENT)