Rios Aviles, Lylka
Rios Aviles, Lylka was paid $63K by Medicaid between Feb 2018 and Apr 2024, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 55% of everything it billed.
33Billing provider infoRIOS AVILES, LYLKA
NARANJITO, PR 00719
NARANJITO, PR 00719
33aNPI1730147927assigned 05/04/2006
33bProvider typeOptometrist
28Total paid$63K
24GClaims3,617
24DCodes billed10
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#123 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 | 440 | $8K | |
| 2019 | 945 | $17K | |
| 2020 | 375 | $5K | |
| 2021 | 852 | $12K | |
| 2022 | 666 | $11K | |
| 2023 | 309 | $10K | |
| 2024incomplete | 30 | $801.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 55% | 1,320 | 1,290 | $35K |
| 92002 | 32% | 736 | 729 | $20K | |
| V2020 | Frames, purchases | 7.4% | 729 | 720 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.2% | 104 | 104 | $4K |
| V2781 | Progressive lens, per lens | 0% | 133 | 132 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 126 | 125 | $0.00 |
| 3072F | 0% | 254 | 251 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 101 | 100 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 29 | 29 | $0.00 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 0% | 85 | 85 | $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.