Talavera, Vilmarie
Talavera, Vilmarie was paid $8K by Medicaid between Apr 2019 and Nov 2023, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 82% of everything it billed.
33Billing provider infoTALAVERA, VILMARIE
HATILLO, PR 00659
HATILLO, PR 00659
33aNPI1740277961assigned 10/03/2005
33bProvider typeOptometrist
28Total paid$8K
24GClaims417
24DCodes billed4
24AFirst – last monthApr 2019 – Nov 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#216 of 299
Median peer was paid$40K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 124 | $2K | |
| 2020 | 73 | $1K | |
| 2021 | 143 | $3K | |
| 2022 | 50 | $1K | |
| 2023 | 27 | $666.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 82% | 249 | 248 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 18% | 40 | 39 | $1K |
| V2020 | Frames, purchases | 0% | 116 | 115 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 12 | 12 | $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.