Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Figueroa, Magaly

Figueroa, Magaly was paid $103K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 39% of everything it billed.

33Billing provider infoFIGUEROA, MAGALY
YAUCO, PR 00698
33aNPI1699766857assigned 11/04/2005
33bProvider typeOptometrist
28Total paid$103K
24GClaims3,604
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#98 of 299
Median peer was paid$40K
This provider vs. median2.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,719$46K
2019530$18K
2020416$13K
2021501$14K
2022233$6K
2023117$4K
2024incomplete88$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 39% 1,589 1,521 $40K
92002 25% 690 657 $26K
V2020 Frames, purchases 15% 431 419 $16K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14% 445 412 $15K
92250 6.3% 232 182 $6K
92225 <1% 36 12 $990.40
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 0% 12 12 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 52 52 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 117 116 $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.