Cumba-Bermudez, Ricardo

Cumba-Bermudez, Ricardo was paid $115K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 96% of everything it billed.

33Billing provider infoCUMBA-BERMUDEZ, RICARDO
BAYAMON, PR 00959

33aNPI1356620207assigned 08/10/2011

33bProvider typeOphthalmology Physician

28Total paid$115K

24GClaims2,213

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#83 of 141

Median peer was paid$163K

This provider vs. median0.7×

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	480	$8K
2019	329	$12K
2020	277	$16K
2021	314	$21K
2022	332	$22K
2023	303	$23K
2024incomplete	178	$13K

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	96%	1,924	1,784	$111K
92002		2.3%	188	111	$3K
92202		<1%	52	52	$1K
92015	Determination of refractive state	<1%	12	12	$350.65
76514		<1%	37	24	$108.70

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.