Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Diaz Hernandez, Carmen

Diaz Hernandez, Carmen was paid $5K by Medicaid between Dec 2020 and Jan 2023, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 90% of everything it billed.

33Billing provider infoDIAZ HERNANDEZ, CARMEN
CAYEY, PR 00736
33aNPI1366448383assigned 06/23/2005
33bProvider typeOptometrist
28Total paid$5K
24GClaims183
24DCodes billed2
24AFirst – last monthDec 2020 – Jan 2023
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#231 of 299
Median peer was paid$40K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
202018$498.00
202183$2K
202265$2K
202317$459.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 90% 167 161 $5K
92002 10% 16 16 $504.00

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.