Physician
Oficina De Oftalmologia DR Emilio a Baez Rivera, CSP
Oficina De Oftalmologia DR Emilio a Baez Rivera, CSP was paid $160K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 65% of everything it billed.
33Billing provider infoOFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1497776108assigned 07/21/2006
33bProvider typeOphthalmology Physician
28Total paid$160K
24GClaims2,891
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#74 of 141
Median peer was paid$163K
This provider vs. median1.0×
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 | 458 | $15K | |
| 2019 | 153 | $89.65 | |
| 2020 | 357 | $19K | |
| 2021 | 183 | $14K | |
| 2022 | 600 | $37K | |
| 2023 | 629 | $40K | |
| 2024incomplete | 511 | $35K |
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 | 65% | 1,588 | 1,314 | $104K |
| 92002 | 11% | 226 | 225 | $18K | |
| 68801 | 7.7% | 143 | 138 | $12K | |
| 92202 | 3.4% | 346 | 346 | $6K | |
| 92133 | 3.2% | 145 | 145 | $5K | |
| 92083 | 2.6% | 63 | 63 | $4K | |
| 92273 | 1.9% | 24 | 24 | $3K | |
| 92015 | Determination of refractive state | <1% | 63 | 62 | $2K |
| 92226 | <1% | 112 | 74 | $1K | |
| 92250 | <1% | 24 | 24 | $1K | |
| 92285 | <1% | 54 | 52 | $907.92 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $877.38 |
5 more codes
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 officialSANTANA, DIANA (BILLING DIRECTOR)