Berrios, Ramon

Berrios, Ramon was paid $139K by Medicaid between Feb 2018 and Dec 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 98% of everything it billed.

33Billing provider infoBERRIOS, RAMON
GUAYNABO, PR 00968

33aNPI1407859820assigned 05/31/2005

33bProvider typeOphthalmology Physician

28Total paid$139K

24GClaims2,130

24DCodes billed4

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#79 of 141

Median peer was paid$163K

This provider vs. median0.8×

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	231	$13K
2019	267	$17K
2020	122	$9K
2021	286	$19K
2022	507	$31K
2023	453	$31K
2024incomplete	264	$18K

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	98%	2,039	1,869	$135K
92083		1.6%	52	52	$2K
92133		<1%	27	27	$570.80
92015	Determination of refractive state	<1%	12	12	$325.10

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.