Pro Vision Ophthalmology,psc

Pro Vision Ophthalmology,psc was paid $621K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 80% of everything it billed.

33Billing provider infoPRO VISION OPHTHALMOLOGY,PSC
TOA ALTA, PR 00953

33aNPI1528284585assigned 04/18/2007

33bProvider typeOphthalmology Physician

28Total paid$621K

24GClaims14,928

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#33 of 141

Median peer was paid$163K

This provider vs. median3.8×

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	2,525	$82K
2019	3,309	$117K
2020	3,088	$119K
2021	2,375	$102K
2022	2,105	$101K
2023	1,256	$83K
2024incomplete	270	$18K

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%	6,778	5,949	$496K
92015	Determination of refractive state	17%	2,756	2,380	$107K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.5%	136	124	$15K
92250		<1%	874	758	$1K
92002		<1%	12	12	$583.41
92226		<1%	2,234	953	$370.62
92202		<1%	2,063	1,588	$228.00
92201		0%	75	13	$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, WALFRED (PRESIDENT)