Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roca, Korak

Roca, Korak was paid $105K by Medicaid between Nov 2020 and Oct 2023, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 32% of everything it billed.

33Billing provider infoROCA, KORAK
HATILLO, PR 00659
33aNPI1316042724assigned 09/13/2006
33bProvider typeOptometrist
28Total paid$105K
24GClaims3,169
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#96 of 299
Median peer was paid$40K
This provider vs. median2.6×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2020372$14K
20211,157$39K
20221,020$33K
2023620$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 32% 1,405 1,365 $34K
92002 28% 554 523 $29K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 734 728 $25K
92201 13% 392 376 $13K
92100 3.9% 84 76 $4K

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.