Gonzalez Mestre, Magaly
Gonzalez Mestre, Magaly was paid $789K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 27% of everything it billed.
33Billing provider infoGONZALEZ MESTRE, MAGALY
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1306816640assigned 01/26/2006
33bProvider typeOptometrist
28Total paid$789K
24GClaims23,242
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#7 of 299
Median peer was paid$40K
This provider vs. median20×
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 | 5,682 | $118K | |
| 2019 | 2,947 | $66K | |
| 2020 | 2,478 | $80K | |
| 2021 | 1,813 | $70K | |
| 2022 | 2,720 | $104K | |
| 2023 | 3,379 | $152K | |
| 2024incomplete | 4,223 | $201K |
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 | 27% | 4,519 | 3,888 | $213K |
| 92002 | 23% | 4,618 | 4,182 | $181K | |
| 92015 | Determination of refractive state | 19% | 7,655 | 6,937 | $153K |
| V2020 | Frames, purchases | 11% | 2,071 | 1,849 | $89K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 1,917 | 1,713 | $88K |
| 92083 | 4.0% | 945 | 890 | $32K | |
| 92202 | 2.8% | 868 | 792 | $22K | |
| 92225 | 1.2% | 561 | 509 | $10K | |
| 92020 | <1% | 53 | 51 | $1K | |
| 92201 | <1% | 20 | 17 | $258.41 | |
| 92060 | <1% | 15 | 13 | $254.30 |
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.