Rivera, Edwin
Rivera, Edwin was paid $344K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 52% of everything it billed.
33Billing provider infoRIVERA, EDWIN
COMERIO, PR 00782
COMERIO, PR 00782
33aNPI1679756480assigned 12/14/2007
33bProvider typeOptometrist
28Total paid$344K
24GClaims14,449
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#30 of 299
Median peer was paid$40K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2018 | 3,058 | $49K | |
| 2019 | 1,312 | $22K | |
| 2020 | 1,266 | $23K | |
| 2021 | 2,224 | $33K | |
| 2022 | 1,960 | $38K | |
| 2023 | 2,002 | $73K | |
| 2024incomplete | 2,627 | $106K |
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 | 52% | 4,596 | 4,088 | $180K |
| 92015 | Determination of refractive state | 35% | 5,467 | 4,923 | $122K |
| 92100 | 6.8% | 674 | 540 | $23K | |
| 92002 | 2.6% | 628 | 609 | $9K | |
| V2020 | Frames, purchases | 2.1% | 2,022 | 1,976 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 92 | 91 | $2K |
| 92020 | <1% | 54 | 42 | $1K | |
| 3072F | 0% | 61 | 60 | $0.00 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 855 | 839 | $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.