Carlo, Ismael
Carlo, Ismael was paid $20K by Medicaid between Mar 2018 and Dec 2023, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 76% of everything it billed.
33Billing provider infoCARLO, ISMAEL
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1417032095assigned 10/25/2006
33bProvider typeOptometrist
28Total paid$20K
24GClaims1,462
24DCodes billed7
24AFirst – last monthMar 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#185 of 299
Median peer was paid$40K
This provider vs. median0.5×
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 | 94 | $3K | |
| 2019 | 456 | $4K | |
| 2020 | 128 | $2K | |
| 2021 | 497 | $6K | |
| 2022 | 247 | $4K | |
| 2023 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 76% | 609 | 604 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 95 | 95 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.9% | 79 | 79 | $1K |
| 92225 | 1.1% | 39 | 39 | $219.32 | |
| 92100 | <1% | 39 | 39 | $119.36 | |
| V2020 | Frames, purchases | 0% | 294 | 294 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 307 | 307 | $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.