Ellin, Pedro
Ellin, Pedro was paid $30K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 67% of everything it billed.
33Billing provider infoELLIN, PEDRO
MANATI, PR 00674
MANATI, PR 00674
33aNPI1780762237assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$30K
24GClaims1,668
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#166 of 299
Median peer was paid$40K
This provider vs. median0.7×
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 | 428 | $7K | |
| 2019 | 244 | $4K | |
| 2020 | 260 | $5K | |
| 2021 | 435 | $8K | |
| 2022 | 240 | $4K | |
| 2023 | 61 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 67% | 717 | 703 | $20K |
| 92002 | 20% | 195 | 193 | $6K | |
| V2020 | Frames, purchases | 5.4% | 515 | 506 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.4% | 41 | 41 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 42 | 42 | $913.50 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 92 | 88 | $0.00 |
| 3072F | 0% | 27 | 27 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 39 | 38 | $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.