Figueroa, Ilsa

Figueroa, Ilsa was paid $30K by Medicaid between Feb 2018 and Jun 2023, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 49% of everything it billed.

33Billing provider infoFIGUEROA, ILSA
CAROLINA, PR 00983

33aNPI1487666731assigned 08/13/2006

33bProvider typeOphthalmology Physician

28Total paid$30K

24GClaims561

24DCodes billed5

24AFirst – last monthFeb 2018 – Jun 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#102 of 141

Median peer was paid$163K

This provider vs. median0.2×

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

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	147	$7K
2019	230	$10K
2020	47	$2K
2021	27	$1K
2023	110	$9K

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	49%	223	180	$15K
92015	Determination of refractive state	26%	204	179	$8K
92002		21%	110	95	$6K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.2%	12	12	$1K
92225		<1%	12	12	$59.48

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.