Ramirez, Jose
Ramirez, Jose was paid $571K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92002, — 27% of everything it billed.
33Billing provider infoRAMIREZ, JOSE
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1437236213assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$571K
24GClaims17,140
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#12 of 299
Median peer was paid$40K
This provider vs. median14×
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 | 2,942 | $58K | |
| 2019 | 2,285 | $50K | |
| 2020 | 2,082 | $76K | |
| 2021 | 2,145 | $71K | |
| 2022 | 2,567 | $97K | |
| 2023 | 2,603 | $114K | |
| 2024incomplete | 2,516 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 27% | 4,084 | 3,975 | $156K | |
| 92015 | Determination of refractive state | 23% | 6,343 | 6,155 | $129K |
| V2020 | Frames, purchases | 19% | 1,642 | 1,601 | $109K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 17% | 2,041 | 1,961 | $96K |
| 92100 | 14% | 2,542 | 2,449 | $81K | |
| 92250 | <1% | 104 | 104 | $538.75 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 17 | 14 | $102.36 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 221 | 216 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 119 | 119 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 27 | 26 | $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.