Physician
Advanced Retina LLC
Advanced Retina LLC was paid $477K by Medicaid between Dec 2022 and Dec 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.
33Billing provider infoADVANCED RETINA LLC
PONCE, PR 00730
PONCE, PR 00730
33aNPI1871226415assigned 07/01/2022
33bProvider typeOphthalmology Physician
28Total paid$477K
24GClaims7,864
24DCodes billed13
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#38 of 141
Median peer was paid$163K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2022 | 25 | $3K | |
| 2023 | 1,631 | $120K | |
| 2024incomplete | 6,208 | $354K |
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 | 25% | 992 | 672 | $118K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,068 | 800 | $118K |
| 92134 | 12% | 1,752 | 1,135 | $58K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 9.9% | 367 | 214 | $47K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.1% | 531 | 299 | $39K |
| 92201 | 7.3% | 1,488 | 955 | $35K | |
| 92250 | 3.9% | 624 | 380 | $19K | |
| C9257 | Injection, bevacizumab, 0.25 mg | 3.8% | 201 | 97 | $18K |
| 99205 | Prolong outpt/office vis | 3.0% | 87 | 43 | $14K |
| J9035 | Injection, bevacizumab, 10 mg | 1.5% | 98 | 74 | $7K |
| 99070 | <1% | 376 | 221 | $4K | |
| 92015 | Determination of refractive state | <1% | 16 | 13 | $349.50 |
1 more codes
| 99024 | 0% | 264 | $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.
From NPPES
Who's on the registration
Authorized officialORTIZ ROSARIO, JAN (PRESIDENT)