Edward P. & Diane M. Hernandez
Edward P. & Diane M. Hernandez was paid $310K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoEDWARD P. & DIANE M. HERNANDEZ
LA PUENTE, CA 91744
LA PUENTE, CA 91744
33aNPI1568671774assigned 05/22/2007
33bProvider typeOptometrist
28Total paid$310K
24GClaims23,202
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#213 of 1,899
Median peer was paid$23K
This provider vs. median14×
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 | 3,539 | $17K | |
| 2019 | 4,357 | $45K | |
| 2020 | 2,135 | $32K | |
| 2021 | 750 | $13K | |
| 2022 | 1,939 | $42K | |
| 2023 | 4,342 | $59K | |
| 2024incomplete | 6,140 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 3,635 | 3,632 | $95K |
| V2020 | Frames, purchases | 21% | 5,181 | 5,172 | $66K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 2,818 | 2,816 | $56K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 4,202 | 4,194 | $49K |
| 92015 | Determination of refractive state | 9.8% | 6,809 | 6,803 | $30K |
| 92341 | 3.0% | 438 | 437 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 91 | 91 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $888.68 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16 | 13 | $170.12 |
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 officialHERNANDEZ, EDWARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Eyes of the Southwest, PC | Las Cruces, NM | $466K |
| Centro Obstetrico Area Sur Este | Guayama, PR | $451K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.