Guevarra Pena, Michelle

Guevarra Pena, Michelle was paid $4K by Medicaid between May 2018 and Oct 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 87% of everything it billed.

33Billing provider infoGUEVARRA PENA, MICHELLE
PATCHOGUE, NY 11772

33aNPI1588628911assigned 04/13/2006

33bProvider typeOphthalmology Physician

28Total paid$4K

24GClaims349

24DCodes billed4

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#823 of 1,085

Median peer was paid$34K

This provider vs. median0.1×

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	59	$261.35
2019	88	$241.19
2020	54	$1K
2021	28	$555.38
2022	43	$461.05
2023	30	$303.85
2024incomplete	47	$578.63

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	87%	302	297	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	18	16	$247.33
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.3%	15	12	$124.84
92083		3.1%	14	13	$117.06

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.