Loyola, Martinez, Jose
Loyola, Martinez, Jose was paid $6K by Medicaid between Nov 2018 and Mar 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 63% of everything it billed.
33Billing provider infoLOYOLA, MARTINEZ, JOSE
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1376502419assigned 03/18/2006
33bProvider typeOptometrist
28Total paid$6K
24GClaims236
24DCodes billed4
24AFirst – last monthNov 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#226 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
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 | 14 | $464.15 | |
| 2019 | 83 | $2K | |
| 2020 | 12 | $317.83 | |
| 2021 | 52 | $1K | |
| 2022 | 75 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 63% | 135 | 131 | $4K |
| 92002 | 23% | 39 | 36 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 24 | 24 | $764.50 |
| V2020 | Frames, purchases | 0% | 38 | 38 | $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.