Miguel a Ramirez MD PSC

Miguel a Ramirez MD PSC was paid $248K by Medicaid between Feb 2018 and Apr 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 57% of everything it billed.

33Billing provider infoMIGUEL A RAMIREZ MD PSC
SAN JUAN, PR 00923

33aNPI1720325566assigned 01/14/2013

33bProvider typeHealth Maintenance Organization

28Total paid$248K

24GClaims4,862

24DCodes billed9

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Health Maintenance Organization providers in Puerto Rico

Rank by total paid#7 of 37

Median peer was paid$25K

This provider vs. median9.8×

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	1,100	$49K
2019	1,428	$62K
2020	227	$15K
2021	586	$32K
2022	822	$43K
2023	612	$41K
2024incomplete	87	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	57%	1,614	1,493	$141K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	1,060	890	$51K
92015	Determination of refractive state	17%	1,218	1,129	$41K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	5.3%	175	164	$13K
92225		<1%	143	132	$1K
92226		<1%	424	389	$625.60
92202		<1%	186	177	$319.20
92020		<1%	29	27	$105.00
V2020	Frames, purchases	0%	13	13	$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.

From NPPES

Who's on the registration

Authorized officialRAMIREZ RIPOLL, MIGUEL (OWNER)