Del Toro Colberg, Rodolfo

Del Toro Colberg, Rodolfo was paid $219K by Medicaid between Jan 2018 and Dec 2023, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 72% of everything it billed.

33Billing provider infoDEL TORO COLBERG, RODOLFO
MAYAGUEZ, PR 00680

33aNPI1598851347assigned 10/05/2006

33bProvider typeOphthalmology Physician

28Total paid$219K

24GClaims5,737

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#60 of 141

Median peer was paid$163K

This provider vs. median1.3×

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	2,475	$70K
2019	1,229	$46K
2020	753	$35K
2021	631	$29K
2022	453	$25K
2023	196	$16K

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	72%	2,295	2,002	$159K
92015	Determination of refractive state	13%	881	777	$28K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	9.3%	175	150	$20K
92002		2.4%	265	216	$5K
92225		2.1%	497	211	$5K
92226		<1%	1,038	476	$2K
92202		0%	586	470	$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.