Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gonzalez-Pagan, Enid

Gonzalez-Pagan, Enid was paid $37K by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 59% of everything it billed.

33Billing provider infoGONZALEZ-PAGAN, ENID
LAJAS, PR 00667
33aNPI1326121013assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$37K
24GClaims1,634
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#155 of 299
Median peer was paid$40K
This provider vs. median0.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018815$18K
2019316$6K
2020181$5K
2021111$3K
202288$2K
202394$3K
2024incomplete29$617.40
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 59% 1,015 965 $22K
92002 19% 385 372 $7K
V2020 Frames, purchases 15% 98 91 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6.5% 118 112 $2K
V2199 Not otherwise classified, single vision lens 0% 18 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.