Melendez, Jorge
Melendez, Jorge was paid $15K by Medicaid between May 2019 and Jun 2021, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 63% of everything it billed.
33Billing provider infoMELENDEZ, JORGE
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1871874750assigned 09/06/2011
33bProvider typeOptometrist
28Total paid$15K
24GClaims856
24DCodes billed5
24AFirst – last monthMay 2019 – Jun 2021
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#195 of 299
Median peer was paid$40K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 107 | $3K | |
| 2020 | 314 | $5K | |
| 2021 | 435 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 63% | 369 | 364 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 141 | 139 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.8% | 38 | 37 | $1K |
| V2020 | Frames, purchases | <1% | 254 | 251 | $100.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 54 | 54 | $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.