Rivera Hernandez, Katherine
Rivera Hernandez, Katherine was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.
33Billing provider infoRIVERA HERNANDEZ, KATHERINE
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1740452432assigned 04/02/2008
33bProvider typeOptometrist
28Total paid$297K
24GClaims7,719
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#34 of 299
Median peer was paid$40K
This provider vs. median7.4×
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 | 1,169 | $12K | |
| 2020 | 374 | $15K | |
| 2021 | 810 | $31K | |
| 2022 | 1,112 | $45K | |
| 2023 | 1,737 | $77K | |
| 2024incomplete | 2,517 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 34% | 1,490 | 1,238 | $100K |
| 92002 | 29% | 1,895 | 1,561 | $87K | |
| 92015 | Determination of refractive state | 23% | 3,483 | 2,885 | $67K |
| V2020 | Frames, purchases | 9.1% | 356 | 289 | $27K |
| 92250 | 5.3% | 495 | 336 | $16K |
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.