Physician
Retina Del Caribe
Retina Del Caribe was paid $168K by Medicaid between Jan 2018 and Nov 2023, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 79% of everything it billed.
33Billing provider infoRETINA DEL CARIBE
BAYAMOM, PR 00961
BAYAMOM, PR 00961
33aNPI1316306608assigned 02/16/2016
33bProvider typeOphthalmology Physician
28Total paid$168K
24GClaims6,866
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#70 of 141
Median peer was paid$163K
This provider vs. median1.0×
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 | 1,390 | $27K | |
| 2019 | 1,121 | $18K | |
| 2020 | 1,323 | $28K | |
| 2021 | 1,708 | $42K | |
| 2022 | 1,042 | $31K | |
| 2023 | 282 | $22K |
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 | 79% | 1,969 | 1,735 | $132K |
| 92134 | 7.0% | 2,120 | 1,858 | $12K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 72 | 72 | $7K |
| 92226 | 3.8% | 975 | 473 | $6K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.6% | 48 | 38 | $4K |
| 92225 | 1.2% | 214 | 105 | $2K | |
| 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% | 70 | 68 | $2K |
| 92202 | <1% | 1,331 | 1,155 | $2K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 39 | 30 | $1K |
| 92250 | <1% | 16 | 16 | $188.92 | |
| 2022F | 0% | 12 | 12 | $0.00 |
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 officialALEJANDRO, KARLA (PRESIDENT)