Physician
Carro Soto, Jose
Carro Soto, Jose was paid $410K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.
33Billing provider infoCARRO SOTO, JOSE
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1477534790assigned 11/14/2005
33bProvider typeOphthalmology Physician
28Total paid$410K
24GClaims14,773
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#44 of 141
Median peer was paid$163K
This provider vs. median2.5×
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 | 3,757 | $85K | |
| 2019 | 2,241 | $41K | |
| 2020 | 1,599 | $35K | |
| 2021 | 1,922 | $63K | |
| 2022 | 1,934 | $64K | |
| 2023 | 1,892 | $68K | |
| 2024incomplete | 1,428 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 34% | 2,959 | 2,823 | $140K |
| 92002 | 19% | 1,702 | 1,658 | $78K | |
| 92015 | Determination of refractive state | 17% | 3,451 | 3,373 | $70K |
| 92202 | 11% | 2,943 | 2,850 | $44K | |
| 92226 | 6.4% | 1,776 | 889 | $26K | |
| 92225 | 5.4% | 1,224 | 611 | $22K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 292 | 287 | $15K |
| 92134 | 1.0% | 169 | 168 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 47 | 47 | $3K |
| 76519 | <1% | 39 | 39 | $3K | |
| 92083 | <1% | 95 | 94 | $3K | |
| 92133 | <1% | 26 | 26 | $471.46 |
1 more codes
| 99024 | 0% | 50 | $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.