Physician
Instituto De Ojos Y Cirugia Plastica
Instituto De Ojos Y Cirugia Plastica was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 26% of everything it billed.
33Billing provider infoINSTITUTO DE OJOS Y CIRUGIA PLASTICA
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1891974820assigned 10/26/2007
33bProvider typeOphthalmology Physician
28Total paid$1.12M
24GClaims25,030
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#16 of 141
Median peer was paid$163K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2018 | 1,075 | $11K | |
| 2019 | 1,677 | $32K | |
| 2020 | 2,758 | $86K | |
| 2021 | 4,116 | $175K | |
| 2022 | 3,986 | $183K | |
| 2023 | 4,155 | $237K | |
| 2024incomplete | 7,263 | $396K |
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 | 26% | 5,807 | 4,215 | $296K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 22% | 314 | 257 | $250K |
| 92250 | 22% | 8,406 | 3,486 | $241K | |
| 92002 | 16% | 3,235 | 2,605 | $178K | |
| 92015 | Determination of refractive state | 5.0% | 2,500 | 2,050 | $56K |
| 92285 | 4.0% | 3,105 | 1,617 | $44K | |
| 92100 | 1.1% | 239 | 212 | $12K | |
| 92136 | <1% | 162 | 114 | $11K | |
| 92134 | <1% | 330 | 234 | $10K | |
| 92083 | <1% | 158 | 101 | $8K | |
| 92133 | <1% | 147 | 99 | $4K | |
| 92225 | <1% | 282 | 125 | $4K |
6 more codes
| 76514 | <1% | 133 | $1K | |
| 92132 | <1% | 133 | $563.47 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 18 | $365.91 |
| 99441 | <1% | 22 | $351.60 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 26 | $319.20 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $259.30 |
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 officialRIVERA RODRIGUEZ, LUIS (PRESIDENTE)