Hernandez-Cott, Luis

Hernandez-Cott, Luis was paid $239K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 61% of everything it billed.

33Billing provider infoHERNANDEZ-COTT, LUIS
BAYAMON, PR 00961

33aNPI1912903865assigned 06/24/2005

33bProvider typeOphthalmology Physician

28Total paid$239K

24GClaims7,159

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#57 of 141

Median peer was paid$163K

This provider vs. median1.5×

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	1,591	$42K
2019	1,961	$49K
2020	1,003	$37K
2021	1,078	$40K
2022	756	$28K
2023	440	$24K
2024incomplete	330	$17K

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	61%	2,615	2,438	$145K
92134		14%	1,919	1,788	$33K
92002		11%	596	554	$26K
92226		7.1%	1,135	582	$17K
92202		4.8%	704	678	$12K
92225		1.2%	109	69	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	14	14	$2K
92015	Determination of refractive state	<1%	49	43	$1K
92201		<1%	18	14	$329.17

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.