Izaguirre Pereira, Rommel

Izaguirre Pereira, Rommel was paid $87.50 by Medicaid between Apr 2024 and Oct 2024, across 2 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 100% of everything it billed.

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
2024incomplete	68	$87.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0620	Routine ophthalmological examination including refraction; new patient	100%	36	36	$87.50
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	0%	32	31	$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.