Centro Oftalmologico Metropolitano CSP

Centro Oftalmologico Metropolitano CSP was paid $4.20M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 43% of everything it billed.

33Billing provider infoCENTRO OFTALMOLOGICO METROPOLITANO CSP
SAN JUAN, PR 00922

33aNPI1528022027assigned 04/13/2006

33bProvider typeOphthalmology Physician

28Total paid$4.20M

24GClaims100,581

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#2 of 141

Median peer was paid$163K

This provider vs. median26×

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	12,306	$330K
2019	13,618	$398K
2020	10,631	$334K
2021	14,583	$592K
2022	16,316	$761K
2023	17,762	$947K
2024incomplete	15,365	$833K

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	43%	33,920	29,553	$1.82M
92002		15%	12,831	11,412	$622K
92015	Determination of refractive state	9.8%	18,655	16,643	$410K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	6.4%	398	332	$269K
92250		5.9%	10,388	9,492	$248K
67028	Intravitreal injection of a pharmacologic agent	5.4%	1,615	1,372	$226K
92134		3.1%	4,620	4,151	$130K
92201		2.4%	5,050	4,589	$102K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.4%	833	693	$100K
76512		1.3%	1,339	727	$54K
92020		1.1%	2,766	2,546	$45K
92225		<1%	2,676	1,411	$41K

14 more codes

92226		<1%	2,872	$28K
J9035	Injection, bevacizumab, 10 mg	<1%	415	$27K
92083		<1%	520	$19K
92235		<1%	167	$14K
92133		<1%	437	$10K
92202		<1%	697	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	73	$9K
76519		<1%	63	$5K
65855		<1%	15	$4K
92060		<1%	53	$3K
C9257	Injection, bevacizumab, 0.25 mg	<1%	13	$455.00
65205		<1%	17	$393.71
76514		<1%	136	$214.33
92285		0%	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.

From NPPES

Who's on the registration

Authorized officialTORRES, LYDIA (CFO)