Davila Rodriguez, Lourdes
Davila Rodriguez, Lourdes was paid $64K by Medicaid between Feb 2018 and Mar 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 59% of everything it billed.
33Billing provider infoDAVILA RODRIGUEZ, LOURDES
COAMO, PR 00769
COAMO, PR 00769
33aNPI1699869941assigned 10/03/2006
33bProvider typeOptometrist
28Total paid$64K
24GClaims3,765
24DCodes billed8
24AFirst – last monthFeb 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#121 of 299
Median peer was paid$40K
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 | |
|---|---|---|---|
| 2018 | 540 | $9K | |
| 2019 | 682 | $12K | |
| 2020 | 640 | $10K | |
| 2021 | 984 | $14K | |
| 2022 | 698 | $13K | |
| 2023 | 195 | $6K | |
| 2024incomplete | 26 | $760.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 59% | 1,308 | 1,285 | $38K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 41% | 830 | 812 | $26K |
| 92002 | <1% | 14 | 14 | $458.50 | |
| V2020 | Frames, purchases | 0% | 950 | 937 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 148 | 148 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 167 | 164 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 234 | 228 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 114 | 114 | $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.