Cumba, Jose

Cumba, Jose was paid $77K by Medicaid between Feb 2018 and Apr 2024, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 97% of everything it billed.

33Billing provider infoCUMBA, JOSE
BAYAMON, PR 00959

33aNPI1508847450assigned 11/08/2005

33bProvider typeOphthalmology Physician

28Total paid$77K

24GClaims1,093

24DCodes billed3

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#89 of 141

Median peer was paid$163K

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	227	$14K
2019	298	$19K
2020	130	$10K
2021	137	$11K
2022	142	$11K
2023	120	$9K
2024incomplete	39	$3K

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	97%	1,057	942	$74K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.1%	12	12	$2K
92015	Determination of refractive state	1.2%	24	12	$960.00

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.