Delvalle-Biascoechea, Carlos

Delvalle-Biascoechea, Carlos was paid $770K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 80% of everything it billed.

33Billing provider infoDELVALLE-BIASCOECHEA, CARLOS
DORADO, PR 00646

33aNPI1497730733assigned 12/09/2005

33bProvider typeOphthalmology Physician

28Total paid$770K

24GClaims18,126

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#24 of 141

Median peer was paid$163K

This provider vs. median4.7×

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	3,805	$79K
2019	3,479	$99K
2020	2,844	$127K
2021	2,778	$146K
2022	2,361	$128K
2023	1,807	$119K
2024incomplete	1,052	$72K

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	80%	11,312	8,565	$615K
92015	Determination of refractive state	6.8%	2,255	2,062	$53K
92002		4.2%	1,068	966	$32K
92083		2.9%	749	691	$22K
92201		2.1%	726	677	$16K
92225		2.0%	1,409	588	$16K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.3%	87	81	$10K
92020		<1%	446	404	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	48	37	$2K
99441		<1%	14	13	$302.58
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	12	12	$259.18

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.