Physician
Eastern Retina Consultants of Puerto Rico, PSC
Eastern Retina Consultants of Puerto Rico, PSC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 48% of everything it billed.
33Billing provider infoEASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1831505841assigned 07/10/2014
33bProvider typeOphthalmology Physician
28Total paid$1.22M
24GClaims33,637
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#15 of 141
Median peer was paid$163K
This provider vs. median7.4×
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
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 | 7,953 | $221K | |
| 2019 | 5,774 | $91K | |
| 2020 | 4,065 | $144K | |
| 2021 | 5,833 | $211K | |
| 2022 | 4,231 | $168K | |
| 2023 | 3,791 | $249K | |
| 2024incomplete | 1,990 | $131K |
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 | 48% | 10,407 | 8,958 | $581K |
| 67028 | Intravitreal injection of a pharmacologic agent | 19% | 2,967 | 2,321 | $225K |
| 92134 | 9.4% | 7,479 | 6,659 | $115K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.2% | 1,115 | 1,018 | $99K |
| 92202 | 3.4% | 3,479 | 2,946 | $41K | |
| 92015 | Determination of refractive state | 2.4% | 1,011 | 948 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 188 | 180 | $21K |
| 92226 | 1.3% | 2,834 | 1,847 | $16K | |
| 67228 | 1.2% | 48 | 43 | $15K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.2% | 578 | 475 | $14K |
| 92201 | <1% | 944 | 880 | $12K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 19 | 15 | $10K |
10 more codes
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 officialBENITEZ BAJANDAS, GABRIEL (PRESIDENT)