Hernandez - Reyes, Carlos
Hernandez - Reyes, Carlos was paid $177K by Medicaid between Sep 2018 and Aug 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoHERNANDEZ - REYES, CARLOS
NEW YORK, NY 10040
NEW YORK, NY 10040
33aNPI1598298531assigned 04/06/2017
33bProvider typeOptician
28Total paid$177K
24GClaims12,137
24DCodes billed9
24AFirst – last monthSep 2018 – Aug 2024
Compared with peers
Next to other Optician providers in New York
Rank by total paid#38 of 184
Median peer was paid$46K
This provider vs. median3.8×
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 | 236 | $307.50 | |
| 2019 | 2,038 | $6K | |
| 2020 | 1,755 | $14K | |
| 2021 | 3,330 | $45K | |
| 2022 | 2,724 | $60K | |
| 2023 | 2,030 | $50K | |
| 2024incomplete | 24 | $80.00 |
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 | 32% | 2,071 | 2,070 | $56K |
| V2020 | Frames, purchases | 30% | 2,758 | 2,635 | $53K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28% | 3,536 | 1,676 | $49K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 7.8% | 742 | 356 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 132 | 132 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 28 | 28 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 164 | 82 | $575.12 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,994 | 930 | $80.00 |
| V2755 | U-v lens, per lens | 0% | 712 | 349 | $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.