De Leon, Nanette

De Leon, Nanette was paid $136K by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 70% of everything it billed.

33Billing provider infoDE LEON, NANETTE
SAN JUAN, PR 00907

33aNPI1487819256assigned 07/22/2008

33bProvider typeOphthalmology Physician

28Total paid$136K

24GClaims3,230

24DCodes billed8

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#80 of 141

Median peer was paid$163K

This provider vs. median0.8×

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	233	$15K
2019	918	$30K
2020	850	$31K
2021	443	$16K
2022	494	$21K
2023	189	$14K
2024incomplete	103	$7K

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	70%	1,619	1,364	$94K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	161	141	$18K
92015	Determination of refractive state	8.6%	355	307	$12K
92134		2.6%	436	398	$4K
92201		2.5%	356	300	$3K
92002		1.3%	39	39	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.3%	15	15	$2K
92225		<1%	249	119	$808.47

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.