Physician
Aguilera, Zenia
Aguilera, Zenia was paid $393K by Medicaid between Feb 2020 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoAGUILERA, ZENIA
MIAMI, FL 33137
MIAMI, FL 33137
33aNPI1578739744assigned 05/07/2008
33bProvider typeOphthalmology Physician
28Total paid$393K
24GClaims8,189
24DCodes billed8
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#23 of 262
Median peer was paid$9K
This provider vs. median45×
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 | 109 | $3K | |
| 2021 | 299 | $17K | |
| 2022 | 3,353 | $120K | |
| 2023 | 2,533 | $136K | |
| 2024incomplete | 1,895 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 1,660 | 1,311 | $160K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 1,363 | 1,052 | $146K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 1,204 | 957 | $76K |
| 92015 | Determination of refractive state | 2.5% | 3,115 | 2,462 | $10K |
| 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% | 15 | 13 | $1K |
| 92060 | <1% | 323 | 263 | $1K | |
| 92133 | <1% | 15 | 15 | $29.58 | |
| 92250 | 0% | 494 | 395 | $-1301.73 |
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.