Calderon Ramirez, Luis
Calderon Ramirez, Luis was paid $163K by Medicaid between Jul 2019 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoCALDERON RAMIREZ, LUIS
KISSIMMEE, FL 34744
KISSIMMEE, FL 34744
33aNPI1578916011assigned 07/20/2016
33bProvider typeOptometrist
28Total paid$163K
24GClaims8,610
24DCodes billed8
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#154 of 941
Median peer was paid$21K
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 | |
|---|---|---|---|
| 2019 | 54 | $549.88 | |
| 2020 | 434 | $5K | |
| 2021 | 1,076 | $20K | |
| 2022 | 2,997 | $59K | |
| 2023 | 2,838 | $55K | |
| 2024incomplete | 1,211 | $23K |
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 | 39% | 1,045 | 1,027 | $63K |
| V2020 | Frames, purchases | 31% | 1,756 | 1,494 | $51K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 529 | 520 | $33K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 1,702 | 1,430 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 1,686 | 1,415 | $4K |
| 92015 | Determination of refractive state | 2.3% | 1,866 | 1,835 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | 13 | $261.76 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 13 | 13 | $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.