Centro Oftalmologico Del Este CSP

Centro Oftalmologico Del Este CSP was paid $122K by Medicaid between Jan 2018 and Aug 2023, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 42% of everything it billed.

33Billing provider infoCENTRO OFTALMOLOGICO DEL ESTE CSP
HUMACAO, PR 00791

33aNPI1568772259assigned 10/14/2010

33bProvider typeMedical Specialty Clinic/Center

28Total paid$122K

24GClaims4,489

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Puerto Rico

Rank by total paid#23 of 54

Median peer was paid$61K

This provider vs. median2.0×

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	2,122	$42K
2019	1,685	$40K
2020	209	$11K
2021	130	$10K
2022	220	$11K
2023	123	$8K

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	42%	1,265	1,106	$51K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	30%	815	725	$37K
92015	Determination of refractive state	18%	858	758	$22K
92083		2.8%	167	158	$3K
92226		2.2%	428	204	$3K
92225		2.1%	284	116	$3K
92250		2.0%	509	462	$2K
92133		1.1%	124	115	$1K
92002		<1%	13	13	$328.13
2025F		0%	13	12	$0.00
2023F		0%	13	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 officialNAVARRETE, ENERY (PRESIDENT)