Hernandez-Rios, Luis

Hernandez-Rios, Luis was paid $53K by Medicaid between Feb 2018 and Nov 2023, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 94% of everything it billed.

33Billing provider infoHERNANDEZ-RIOS, LUIS
BAYAMON, PR 00961

33aNPI1649351768assigned 10/17/2006

33bProvider typeOphthalmology Physician

28Total paid$53K

24GClaims2,751

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#97 of 141

Median peer was paid$163K

This provider vs. median0.3×

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	604	$10K
2019	964	$12K
2020	531	$13K
2021	355	$8K
2022	250	$7K
2023	47	$4K

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	94%	755	635	$50K
92134		3.0%	843	699	$2K
92226		2.7%	653	286	$1K
92201		0%	350	273	$0.00
83861		0%	150	133	$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.