Martinez, Myriam
Martinez, Myriam was paid $937K by Medicaid between Jan 2018 and May 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 25% of everything it billed.
33Billing provider infoMARTINEZ, MYRIAM
OROCOVIS, PR 00720
OROCOVIS, PR 00720
33aNPI1770560088assigned 12/28/2005
33bProvider typeOptometrist
28Total paid$937K
24GClaims28,089
24DCodes billed8
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#5 of 299
Median peer was paid$40K
This provider vs. median23×
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 | 8,785 | $228K | |
| 2019 | 7,413 | $255K | |
| 2020 | 4,244 | $139K | |
| 2021 | 3,080 | $121K | |
| 2022 | 2,434 | $104K | |
| 2023 | 2,105 | $89K | |
| 2024incomplete | 28 | $1K |
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 | 25% | 4,867 | 4,299 | $232K |
| 92015 | Determination of refractive state | 20% | 8,466 | 7,590 | $189K |
| 92002 | 18% | 3,832 | 3,500 | $166K | |
| 92100 | 16% | 4,666 | 4,309 | $152K | |
| 92283 | 9.7% | 3,705 | 3,501 | $91K | |
| V2020 | Frames, purchases | 6.5% | 639 | 554 | $61K |
| 92250 | 5.0% | 1,612 | 1,539 | $47K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 302 | 223 | $160.60 |
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.