Puerto Rico Eye Institute

Puerto Rico Eye Institute was paid $1.24M by Medicaid between Sep 2020 and Dec 2024, across 18 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 26% of everything it billed.

33Billing provider infoPUERTO RICO EYE INSTITUTE
CAGUAS, PR 00725

33aNPI1548723158assigned 04/10/2019

33bProvider typeOphthalmology Physician

28Total paid$1.24M

24GClaims24,691

24DCodes billed18

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#13 of 141

Median peer was paid$163K

This provider vs. median7.6×

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
2020	991	$26K
2021	6,964	$252K
2022	5,576	$258K
2023	4,343	$304K
2024incomplete	6,817	$401K

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	26%	4,720	3,348	$323K
67028	Intravitreal injection of a pharmacologic agent	19%	2,250	1,550	$240K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	1,605	1,369	$189K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	1,312	1,137	$162K
92134		11%	5,588	4,399	$132K
92202		6.1%	5,511	4,323	$76K
92002		4.1%	700	558	$50K
92015	Determination of refractive state	3.4%	1,354	1,159	$42K
92083		<1%	250	231	$7K
92250		<1%	288	256	$6K
J3490	Unclassified drugs	<1%	527	248	$5K
92273		<1%	87	87	$4K

6 more codes

C9257	Injection, bevacizumab, 0.25 mg	<1%	97	$3K
92133		<1%	158	$2K
68761		<1%	56	$799.65
76514		<1%	148	$672.04
92201		<1%	25	$477.13
92025		<1%	15	$256.20

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 officialFERNANDEZ, CARLOS (PRESIDENT)

Same official

Other billing entities under FERNANDEZ, CARLOS

Full network →

Provider	Location	Paid
Lovable Care Home Health LLC	Miami Lakes, FL	$15.86M
Premier Perinatal, L.L.C.	Toms River, NJ	$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.