Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roman Roman, Roberto

Roman Roman, Roberto was paid $26K by Medicaid between Jul 2021 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.

33Billing provider infoROMAN ROMAN, ROBERTO
SAN JUAN, PR 00921
33aNPI1538357066assigned 10/10/2007
28Total paid$26K
24GClaims1,496
24DCodes billed6
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers

Next to other Low Vision Rehabilitation Optometrist providers in Puerto Rico

Rank by total paid#2 of 5
Median peer was paid$20K
This provider vs. median1.3×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2021644$9K
2022673$11K
2023155$5K
2024incomplete24$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50% 373 363 $13K
92015 Determination of refractive state 47% 446 431 $12K
92002 3.1% 12 12 $789.87
V2025 Deluxe frame 0% 246 240 $0.00
V2760 Scratch resistant coating, per lens 0% 191 187 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 228 222 $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.