Padilla, Fernando
Padilla, Fernando was paid $109K by Medicaid between Feb 2018 and Jul 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 25% of everything it billed.
33Billing provider infoPADILLA, FERNANDO
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1295737591assigned 06/01/2005
33bProvider typeOptometrist
28Total paid$109K
24GClaims5,083
24DCodes billed9
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#93 of 299
Median peer was paid$40K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2018 | 1,384 | $20K | |
| 2019 | 895 | $14K | |
| 2020 | 1,224 | $32K | |
| 2021 | 535 | $15K | |
| 2022 | 671 | $19K | |
| 2023 | 285 | $7K | |
| 2024incomplete | 89 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 25% | 1,332 | 1,236 | $27K |
| 92060 | 18% | 671 | 630 | $19K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 296 | 273 | $13K |
| 92002 | 11% | 419 | 390 | $12K | |
| 92081 | 11% | 672 | 630 | $12K | |
| 92202 | 8.8% | 361 | 348 | $10K | |
| 92285 | 7.3% | 682 | 641 | $8K | |
| 92225 | 4.9% | 326 | 294 | $5K | |
| 92250 | 2.9% | 324 | 294 | $3K |
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.