Melendez, Jacqueline
Melendez, Jacqueline was paid $4K by Medicaid between Jun 2020 and Dec 2023, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 83% of everything it billed.
33Billing provider infoMELENDEZ, JACQUELINE
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1841542719assigned 10/02/2012
33bProvider typeOptometrist
28Total paid$4K
24GClaims175
24DCodes billed4
24AFirst – last monthJun 2020 – Dec 2023
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#239 of 299
Median peer was paid$40K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 12 | $242.90 | |
| 2021 | 15 | $428.00 | |
| 2022 | 111 | $2K | |
| 2023 | 37 | $990.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 83% | 110 | 110 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 19 | 19 | $598.50 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 12 | 12 | $0.00 |
| V2020 | Frames, purchases | 0% | 34 | 34 | $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.