Alvarez, Karen

Alvarez, Karen was paid $157K by Medicaid between May 2022 and Dec 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.

33Billing provider infoALVAREZ, KAREN
HOLLYWOOD, FL 33021

33aNPI1689800344assigned 06/08/2009

33bProvider typeOphthalmology Physician

28Total paid$157K

24GClaims3,289

24DCodes billed8

24AFirst – last monthMay 2022 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#42 of 262

Median peer was paid$9K

This provider vs. median18×

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
2022	940	$23K
2023	1,138	$71K
2024incomplete	1,211	$63K

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	28%	783	512	$45K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	22%	326	288	$35K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	15%	383	340	$23K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	376	262	$23K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	10.0%	361	225	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.8%	192	160	$8K
92060		2.7%	140	101	$4K
92015	Determination of refractive state	2.6%	728	526	$4K

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.