Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rodriguez, Hector

Rodriguez, Hector was paid $14K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 80% of everything it billed.

33Billing provider infoRODRIGUEZ, HECTOR
WEST NEW YORK, NJ 07093
33aNPI1386848059assigned 06/14/2007
33bProvider typeOptician
28Total paid$14K
24GClaims23,976
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optician providers in New Jersey

Rank by total paid#26 of 89
Median peer was paid$2K
This provider vs. median9.0×

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$250$500$7502018201920202021202220232024
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
20181,906$3K
20192,353$5K
20202,749$4K
20213,770$3K
20224,590$0.00
20235,304$0.00
2024incomplete3,304$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 80% 633 633 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 15% 5,918 2,982 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 3.3% 500 260 $468.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 5,545 2,767 $128.82
V2020 Frames, purchases <1% 3,565 3,530 $60.00
V2750 Anti-reflective coating, per lens 0% 2,423 1,188 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 612 320 $0.00
V2781 Progressive lens, per lens 0% 1,587 797 $0.00
V2299 Specialty bifocal (by report) 0% 1,178 583 $0.00
V2744 Tint, photochromatic, per lens 0% 1,465 724 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 550 292 $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.