Physician
En Ophthalmology Services P S C
En Ophthalmology Services P S C was paid $956K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 60% of everything it billed.
33Billing provider infoEN OPHTHALMOLOGY SERVICES P S C
MANATI, PR 00674
MANATI, PR 00674
33aNPI1487041968assigned 04/22/2015
33bProvider typeOphthalmology Physician
28Total paid$956K
24GClaims22,814
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#19 of 141
Median peer was paid$163K
This provider vs. median5.9×
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 | 3,381 | $115K | |
| 2019 | 5,767 | $179K | |
| 2020 | 4,570 | $182K | |
| 2021 | 3,587 | $158K | |
| 2022 | 2,566 | $130K | |
| 2023 | 1,750 | $116K | |
| 2024incomplete | 1,193 | $76K |
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 | 60% | 8,333 | 7,366 | $578K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 1,022 | 869 | $125K |
| 92002 | 12% | 2,345 | 2,136 | $113K | |
| 92015 | Determination of refractive state | 10% | 3,073 | 2,755 | $98K |
| 92201 | 2.4% | 2,794 | 2,271 | $23K | |
| 92226 | <1% | 2,476 | 1,145 | $6K | |
| 92225 | <1% | 698 | 420 | $5K | |
| V2020 | Frames, purchases | <1% | 59 | 58 | $4K |
| 92020 | <1% | 1,921 | 1,614 | $3K | |
| 92250 | <1% | 67 | 55 | $838.45 | |
| 92083 | <1% | 26 | 24 | $622.28 |
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 officialNEGRON, EDGARDO (PRESIDENT)