Ponce, Roberto
Ponce, Roberto was paid $91K by Medicaid between Dec 2018 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.
33Billing provider infoPONCE, ROBERTO
MIAMI, FL 33125
MIAMI, FL 33125
33aNPI1861561458assigned 11/07/2006
33bProvider typeOptometrist
28Total paid$91K
24GClaims3,120
24DCodes billed6
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#251 of 941
Median peer was paid$21K
This provider vs. median4.3×
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 | 24 | $874.36 | |
| 2019 | 838 | $31K | |
| 2020 | 518 | $19K | |
| 2021 | 73 | $2K | |
| 2022 | 448 | $12K | |
| 2023 | 410 | $11K | |
| 2024incomplete | 809 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 65% | 1,982 | 1,890 | $60K |
| V2020 | Frames, purchases | 31% | 510 | 480 | $28K |
| 92015 | Determination of refractive state | 2.9% | 337 | 314 | $3K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 237 | 223 | $475.40 |
| V2201 | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 14 | 14 | $219.24 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 40 | 34 | $40.00 |
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.