Ortiz Optometric Care
Ortiz Optometric Care was paid $221K by Medicaid between Jan 2019 and Nov 2024, across 7 billing codes. Its largest line is 92002, — 34% of everything it billed.
33Billing provider infoORTIZ OPTOMETRIC CARE
PONCE, PR 00731
PONCE, PR 00731
33aNPI1285092833assigned 02/10/2016
33bProvider typeOptometrist
28Total paid$221K
24GClaims4,992
24DCodes billed7
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#53 of 299
Median peer was paid$40K
This provider vs. median5.5×
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 | 390 | $15K | |
| 2020 | 260 | $7K | |
| 2021 | 685 | $30K | |
| 2022 | 1,048 | $43K | |
| 2023 | 953 | $45K | |
| 2024incomplete | 1,656 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 34% | 1,220 | 1,054 | $75K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 27% | 955 | 792 | $61K |
| 92015 | Determination of refractive state | 22% | 2,360 | 2,003 | $48K |
| V2020 | Frames, purchases | 15% | 337 | 298 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 28 | 28 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 61 | 31 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 31 | 31 | $814.24 |
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 MELENDEZ, JENNIFER (PRESIDENT / OPTOMETRIST)