Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Torres, Rosanie

Torres, Rosanie was paid $208K by Medicaid between Jan 2018 and Oct 2023, across 10 billing codes. Its largest line is 92002, — 37% of everything it billed.

33Billing provider infoTORRES, ROSANIE
PATILLAS, PR 00723
33aNPI1447229240assigned 03/15/2006
33bProvider typeOptometrist
28Total paid$208K
24GClaims6,834
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#56 of 299
Median peer was paid$40K
This provider vs. median5.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,307$54K
20191,124$37K
20201,178$41K
20211,054$34K
2022552$18K
2023619$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 37% 1,834 1,781 $78K
92015 Determination of refractive state 29% 2,461 2,362 $60K
92060 18% 955 914 $38K
92081 12% 1,115 1,054 $25K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.7% 157 144 $8K
92285 <1% 12 12 $186.74
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 121 106 $0.00
3072F 0% 61 61 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 59 55 $0.00
V2020 Frames, purchases 0% 59 55 $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.