Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ojitos Oftalmologia Pediatrica CSP

Ojitos Oftalmologia Pediatrica CSP was paid $1.23M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 40% of everything it billed.

33Billing provider infoOJITOS OFTALMOLOGIA PEDIATRICA CSP
MANATI, PR 00674
33aNPI1427476878assigned 04/02/2014
33bProvider typeOphthalmology Physician
28Total paid$1.23M
24GClaims32,560
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#14 of 141
Median peer was paid$163K
This provider vs. median7.5×

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

$0$20K$40K$60K2018201920202021202220232024
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
20185,248$129K
20195,651$144K
20204,731$161K
20214,137$181K
20223,451$154K
20234,290$209K
2024incomplete5,052$250K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 40% 10,058 9,434 $486K
92015 Determination of refractive state 18% 11,049 10,302 $222K
92060 17% 5,353 4,918 $214K
92002 16% 3,351 3,085 $194K
99242 8.1% 2,234 2,139 $100K
92226 <1% 250 237 $6K
92225 <1% 146 144 $3K
92202 <1% 94 86 $2K
92201 <1% 25 25 $544.04

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.

From NPPES

Who's on the registration

Authorized officialRIVERA, ROBERTO (SECRETARY)
Same official

Other billing entities under RIVERA, ROBERTO

Full network →
ProviderLocationPaid
Orthostat Caribbean CorpToa Baja, PR$190K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.