Physician
Fernandez Santos, Carlos
Fernandez Santos, Carlos was paid $96K by Medicaid between Jul 2019 and Dec 2020, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 44% of everything it billed.
33Billing provider infoFERNANDEZ SANTOS, CARLOS
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1649566977assigned 06/24/2011
33bProvider typeOphthalmology Physician
28Total paid$96K
24GClaims3,042
24DCodes billed14
24AFirst – last monthJul 2019 – Dec 2020
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#88 of 141
Median peer was paid$163K
This provider vs. median0.6×
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
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 | 958 | $24K | |
| 2020 | 2,084 | $72K |
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 | 44% | 378 | 272 | $42K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 328 | 237 | $18K |
| 92134 | 11% | 845 | 673 | $11K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 9.4% | 150 | 91 | $9K |
| 92002 | 5.5% | 142 | 139 | $5K | |
| 92202 | 4.4% | 269 | 212 | $4K | |
| 92225 | 4.1% | 433 | 213 | $4K | |
| 92201 | 1.6% | 294 | 173 | $1K | |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $253.40 |
| 92083 | <1% | 12 | 12 | $209.26 | |
| 92020 | <1% | 69 | 57 | $198.72 | |
| 76514 | <1% | 37 | 27 | $104.46 |
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.