Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Alvarez Pont, Antolin

Alvarez Pont, Antolin was paid $751K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 30% of everything it billed.

33Billing provider infoALVAREZ PONT, ANTOLIN
SANTURCE, PR 00909
33aNPI1265413439assigned 11/07/2005
33bProvider typeOphthalmology Physician
28Total paid$751K
24GClaims26,417
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#27 of 141
Median peer was paid$163K
This provider vs. median4.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
20183,691$66K
20195,649$104K
20204,359$104K
20214,577$147K
20223,236$112K
20233,018$129K
2024incomplete1,887$90K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 30% 4,134 3,801 $222K
92083 12% 2,950 2,754 $93K
92002 12% 1,957 1,875 $88K
92015 Determination of refractive state 11% 3,415 3,225 $83K
92060 11% 3,864 3,640 $81K
92133 5.7% 2,436 2,279 $43K
92250 4.8% 2,127 1,995 $36K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 3.5% 43 41 $27K
92226 2.4% 2,126 981 $18K
92225 2.4% 1,365 647 $18K
92202 1.8% 1,475 1,403 $14K
76519 1.5% 177 161 $12K
4 more codes
66821 <1% 24 $6K
92273 <1% 174 $5K
76512 <1% 86 $4K
92201 <1% 64 $368.85

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.