Leon, Hector

Leon, Hector was paid $96K by Medicaid between Jan 2019 and Nov 2023, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 83% of everything it billed.

33Billing provider infoLEON, HECTOR
CAROLINA, PR 00985

33aNPI1659481794assigned 08/30/2006

33bProvider typeOphthalmology Physician

28Total paid$96K

24GClaims1,483

24DCodes billed3

24AFirst – last monthJan 2019 – Nov 2023

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#87 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	436	$23K
2020	358	$24K
2021	281	$19K
2022	200	$14K
2023	208	$15K

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	83%	1,042	912	$79K
92015	Determination of refractive state	17%	422	369	$17K
92226		0%	19	14	$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.