Physician
Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $2.37M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 64% of everything it billed.
33Billing provider infoRECINTO DE CIENCIAS MEDICAS
SAN JUAN, PR 00929
SAN JUAN, PR 00929
33aNPI1770654592assigned 11/13/2006
33bProvider typeOphthalmology Physician
28Total paid$2.37M
24GClaims61,585
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#6 of 141
Median peer was paid$163K
This provider vs. median15×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more
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 | 11,414 | $200K | |
| 2019 | 10,657 | $206K | |
| 2020 | 5,246 | $198K | |
| 2021 | 7,750 | $397K | |
| 2022 | 9,050 | $443K | |
| 2023 | 9,923 | $508K | |
| 2024incomplete | 7,545 | $416K |
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 | 64% | 37,536 | 28,510 | $1.52M |
| 67028 | Intravitreal injection of a pharmacologic agent | 9.0% | 2,019 | 1,343 | $213K |
| 92134 | 5.4% | 5,020 | 3,782 | $128K | |
| 92002 | 5.2% | 3,930 | 3,361 | $123K | |
| 92083 | 3.1% | 2,515 | 2,047 | $73K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.9% | 686 | 495 | $68K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.9% | 933 | 784 | $46K |
| 92133 | 1.4% | 1,768 | 1,456 | $33K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 327 | 276 | $25K |
| 92250 | <1% | 1,046 | 874 | $21K | |
| 92201 | <1% | 861 | 609 | $17K | |
| 76519 | <1% | 289 | 230 | $17K |
15 more codes
| 92226 | <1% | 1,569 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 230 | $14K |
| C9257 | Injection, bevacizumab, 0.25 mg | <1% | 346 | $14K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 425 | $10K |
| 92015 | Determination of refractive state | <1% | 928 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 110 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 35 | $6K |
| 92225 | <1% | 405 | $5K | |
| 92202 | <1% | 246 | $2K | |
| 99070 | <1% | 166 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 26 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $2K |
| 99241 | <1% | 51 | $1K | |
| 76514 | <1% | 50 | $186.78 | |
| 92020 | <1% | 23 | $142.28 |
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.
From NPPES
Who's on the registration
Authorized officialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.