Retina Associates CSP
Retina Associates CSP was paid $37K by Medicaid between Oct 2018 and Dec 2023, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 100% of everything it billed.
33Billing provider infoRETINA ASSOCIATES CSP
GUAYNABO, PR 00968
GUAYNABO, PR 00968
33aNPI1669609210assigned 06/22/2009
33bProvider typeSpecialist
28Total paid$37K
24GClaims1,219
24DCodes billed4
24AFirst – last monthOct 2018 – Dec 2023
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#144 of 316
Median peer was paid$26K
This provider vs. median1.4×
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 | 12 | $0.00 | |
| 2019 | 194 | $4K | |
| 2020 | 249 | $7K | |
| 2021 | 348 | $8K | |
| 2022 | 308 | $10K | |
| 2023 | 108 | $8K |
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 | 100% | 519 | 445 | $37K |
| 92226 | 0% | 78 | 27 | $0.00 | |
| 92202 | 0% | 218 | 197 | $0.00 | |
| 92134 | 0% | 404 | 350 | $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 officialVELEZ, WANDSY (PRESIDENT)