Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Soto, Nahir

Soto, Nahir was paid $17K by Medicaid between Apr 2018 and Nov 2023, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 71% of everything it billed.

33Billing provider infoSOTO, NAHIR
SALINAS, PR 00751
33aNPI1770906448assigned 01/30/2014
33bProvider typeOptometrist
28Total paid$17K
24GClaims624
24DCodes billed6
24AFirst – last monthApr 2018 – Nov 2023
Compared with peers

Next to other Optometrist providers in Puerto Rico

Rank by total paid#189 of 299
Median peer was paid$40K
This provider vs. median0.4×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201864$3K
201973$2K
202079$1K
202158$1K
2022185$5K
2023165$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 71% 452 441 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 28 28 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.2% 38 38 $1K
92002 4.6% 12 12 $774.18
V2020 Frames, purchases 1.8% 76 75 $300.00
V2799 Vision item or service, miscellaneous 0% 18 18 $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.