Torres, Miguel

Torres, Miguel was paid $333K by Medicaid between Jan 2018 and Apr 2024, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 68% of everything it billed.

33Billing provider infoTORRES, MIGUEL
PONCE, PR 00717

33aNPI1831189422assigned 10/25/2005

33bProvider typeOphthalmology Physician

28Total paid$333K

24GClaims4,353

24DCodes billed7

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#50 of 141

Median peer was paid$163K

This provider vs. median2.0×

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	1,227	$87K
2019	1,095	$82K
2020	346	$29K
2021	600	$47K
2022	594	$46K
2023	397	$33K
2024incomplete	94	$8K

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	68%	3,073	2,743	$226K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	26%	636	580	$85K
92015	Determination of refractive state	6.3%	542	500	$21K
92083		<1%	18	14	$322.40
76519		<1%	26	25	$277.40
92133		0%	44	43	$0.00
92136		0%	14	14	$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.