Melendez, Alan
Melendez, Alan was paid $19K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 57% of everything it billed.
33Billing provider infoMELENDEZ, ALAN
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1497893341assigned 02/02/2007
33bProvider typeOptometrist
28Total paid$19K
24GClaims939
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#186 of 299
Median peer was paid$40K
This provider vs. median0.5×
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 | 624 | $14K | |
| 2019 | 152 | $3K | |
| 2020 | 61 | $912.45 | |
| 2021 | 46 | $1K | |
| 2022 | 43 | $649.00 | |
| 2023 | 13 | $334.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 57% | 483 | 462 | $11K |
| 92002 | 29% | 253 | 246 | $6K | |
| V2020 | Frames, purchases | 10% | 105 | 104 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 31 | 29 | $793.12 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 39 | 39 | $0.00 |
| V2025 | Deluxe frame | 0% | 16 | 16 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 12 | 12 | $0.00 |
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.