Vazquez-Valencia, Esteban

Vazquez-Valencia, Esteban was paid $262K by Medicaid between Mar 2021 and May 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 50% of everything it billed.

33Billing provider infoVAZQUEZ-VALENCIA, ESTEBAN
DORADO, PR 00646

33aNPI1699183376assigned 07/26/2014

33bProvider typeOphthalmology Physician

28Total paid$262K

24GClaims5,002

24DCodes billed12

24AFirst – last monthMar 2021 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#54 of 141

Median peer was paid$163K

This provider vs. median1.6×

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
2021	1,162	$55K
2022	1,964	$94K
2023	1,618	$94K
2024incomplete	258	$19K

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	50%	1,942	1,805	$132K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	24%	509	492	$62K
92002		7.6%	325	312	$20K
92015	Determination of refractive state	6.9%	663	648	$18K
92201		5.5%	608	587	$14K
92133		3.3%	434	418	$9K
92020		1.3%	227	217	$3K
92083		1.1%	105	101	$3K
92250		<1%	16	16	$548.16
76514		<1%	87	85	$369.81
92134		<1%	12	12	$171.13
99024		<1%	74	50	$0.05

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.