Ocasio-Rodriguez, Juan

Ocasio-Rodriguez, Juan was paid $272K by Medicaid between Feb 2018 and Oct 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 78% of everything it billed.

33Billing provider infoOCASIO-RODRIGUEZ, JUAN
BAYAMON, PR 00956

33aNPI1790748689assigned 04/11/2006

33bProvider typeOphthalmology Physician

28Total paid$272K

24GClaims4,737

24DCodes billed9

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#52 of 141

Median peer was paid$163K

This provider vs. median1.7×

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	797	$35K
2019	990	$53K
2020	1,002	$55K
2021	730	$43K
2022	500	$34K
2023	481	$34K
2024incomplete	237	$17K

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	78%	3,200	2,675	$212K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	12%	323	251	$33K
92015	Determination of refractive state	6.8%	584	533	$18K
92002		2.4%	118	116	$6K
92083		<1%	101	72	$772.26
92226		<1%	190	174	$415.52
92250		<1%	104	69	$155.58
92202		<1%	18	14	$140.80
83861		0%	99	40	$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.