Santos-Delgado, Gabriel
Santos-Delgado, Gabriel was paid $13K by Medicaid between Aug 2018 and Apr 2024, across 8 billing codes. Its largest line is 92002, — 50% of everything it billed.
33Billing provider infoSANTOS-DELGADO, GABRIEL
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1760724777assigned 03/18/2013
33bProvider typeOptometrist
28Total paid$13K
24GClaims745
24DCodes billed8
24AFirst – last monthAug 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#202 of 299
Median peer was paid$40K
This provider vs. median0.3×
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 | 40 | $855.00 | |
| 2019 | 27 | $0.00 | |
| 2021 | 382 | $3K | |
| 2022 | 48 | $778.70 | |
| 2023 | 134 | $4K | |
| 2024incomplete | 114 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 50% | 222 | 207 | $6K | |
| 92250 | 21% | 207 | 192 | $3K | |
| 92015 | Determination of refractive state | 16% | 236 | 220 | $2K |
| 92060 | 6.2% | 26 | 26 | $786.63 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.4% | 16 | 16 | $560.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.3% | 12 | 12 | $295.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 12 | 12 | $0.00 |
| V2025 | Deluxe frame | 0% | 14 | 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.