Rodriguez, Caroline
Rodriguez, Caroline was paid $268K by Medicaid between Jan 2018 and Aug 2024, across 18 billing codes. Its largest line is 92015, Determination of refractive state — 23% of everything it billed.
33Billing provider infoRODRIGUEZ, CAROLINE
YAUCO, PR 00698
YAUCO, PR 00698
33aNPI1437284643assigned 02/21/2007
33bProvider typeOptometrist
28Total paid$268K
24GClaims11,878
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#40 of 299
Median peer was paid$40K
This provider vs. median6.7×
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 | 3,376 | $79K | |
| 2019 | 4,328 | $68K | |
| 2020 | 2,820 | $76K | |
| 2021 | 523 | $18K | |
| 2022 | 398 | $12K | |
| 2023 | 291 | $10K | |
| 2024incomplete | 142 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 23% | 2,554 | 2,386 | $61K |
| 92002 | 21% | 1,607 | 1,488 | $56K | |
| 92020 | 12% | 1,970 | 1,831 | $31K | |
| V2020 | Frames, purchases | 11% | 820 | 768 | $29K |
| 92250 | 11% | 1,141 | 1,031 | $29K | |
| 92083 | 11% | 1,038 | 984 | $29K | |
| 92081 | 5.2% | 914 | 823 | $14K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.8% | 423 | 196 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.4% | 350 | 335 | $7K |
| 92285 | <1% | 188 | 171 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 60 | 59 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 12 | $1K |
6 more codes
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 412 | $0.00 |
| 3072F | 0% | 225 | $0.00 | |
| V2799 | Vision item or service, miscellaneous | 0% | 76 | $0.00 |
| 92228 | 0% | 17 | $0.00 | |
| V2199 | Not otherwise classified, single vision lens | 0% | 53 | $0.00 |
| G0117 | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | 0% | 17 | $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.