Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cardona-Irizarry, Gonzalo

Cardona-Irizarry, Gonzalo was paid $64K by Medicaid between Feb 2018 and Aug 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 56% of everything it billed.

33Billing provider infoCARDONA-IRIZARRY, GONZALO
MANATI, PR 00674
33aNPI1609956424assigned 10/16/2006
33bProvider typeOptometrist
28Total paid$64K
24GClaims4,116
24DCodes billed9
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#122 of 299
Median peer was paid$40K
This provider vs. median1.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018357$7K
2019692$8K
2020668$9K
20211,266$18K
2022797$13K
2023268$8K
2024incomplete68$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 56% 1,332 1,280 $36K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26% 516 507 $17K
92002 15% 316 312 $10K
V2020 Frames, purchases 2.5% 632 622 $2K
V2199 Not otherwise classified, single vision lens 0% 15 12 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 550 545 $0.00
V2781 Progressive lens, per lens 0% 148 147 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 525 519 $0.00
V2744 Tint, photochromatic, per lens 0% 82 82 $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.