Doctora Magaly Gonzalez Mestre Optometra, CSP

Doctora Magaly Gonzalez Mestre Optometra, CSP was paid $34K by Medicaid between Apr 2019 and Dec 2023, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.

33Billing provider infoDOCTORA MAGALY GONZALEZ MESTRE OPTOMETRA, CSP
SAN SEBASTIAN, PR 00685

33aNPI1609144757assigned 12/05/2011

33bProvider typeExclusive Provider Organization

28Total paid$34K

24GClaims1,201

24DCodes billed7

24AFirst – last monthApr 2019 – Dec 2023

Compared with peers

Next to other Exclusive Provider Organization providers in Puerto Rico

Rank by total paid#13 of 19

Median peer was paid$250K

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
2019	266	$5K
2020	328	$9K
2021	342	$10K
2022	236	$9K
2023	29	$657.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	44%	572	565	$15K
V2319	Trifocal seg width over 28 mm	27%	67	67	$9K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	27%	303	301	$9K
92002		2.2%	25	25	$756.00
V2020	Frames, purchases	0%	159	159	$0.00
V2025	Deluxe frame	0%	48	48	$0.00
V2744	Tint, photochromatic, per lens	0%	27	27	$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.

From NPPES

Who's on the registration

Authorized officialGONZALEZ, MAGALY (PRESIDENT)