Quinones- Ferrer, Hiram

Quinones- Ferrer, Hiram was paid $966K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.

33Billing provider infoQUINONES- FERRER, HIRAM
PONCE, PR 00717

33aNPI1306835392assigned 10/21/2005

33bProvider typeOphthalmology Physician

28Total paid$966K

24GClaims13,773

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#18 of 141

Median peer was paid$163K

This provider vs. median5.9×

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	3,077	$252K
2019	2,628	$235K
2020	1,359	$92K
2021	2,810	$142K
2022	1,887	$120K
2023	1,508	$94K
2024incomplete	504	$31K

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	34%	4,195	3,898	$333K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	33%	2,829	2,423	$320K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	19%	1,478	1,276	$184K
92002		4.1%	805	706	$40K
92015	Determination of refractive state	3.4%	1,489	1,324	$33K
99205	Prolong outpt/office vis	1.5%	91	84	$14K
92133		<1%	399	363	$8K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	42	40	$6K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	52	50	$5K
92134		<1%	755	665	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	38	36	$4K
92083		<1%	67	60	$4K

8 more codes

66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	15	$3K
76514		<1%	333	$2K
92202		<1%	377	$2K
92136		<1%	150	$2K
99213	Doctor's office visit, returning patient (routine)	<1%	20	$1K
92226		<1%	455	$406.86
92020		<1%	31	$324.24
92225		<1%	152	$282.22

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.