Cotto, Ericberto
Cotto, Ericberto was paid $289K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoCOTTO, ERICBERTO
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1932168994assigned 03/20/2006
33bProvider typeOptometrist
28Total paid$289K
24GClaims13,417
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#36 of 299
Median peer was paid$40K
This provider vs. median7.2×
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 | 1,296 | $32K | |
| 2019 | 58 | $2K | |
| 2021 | 253 | $15K | |
| 2022 | 5,795 | $72K | |
| 2023 | 4,388 | $101K | |
| 2024incomplete | 1,627 | $67K |
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 | 36% | 975 | 952 | $104K |
| 92002 | 22% | 1,216 | 1,121 | $62K | |
| 92283 | 18% | 1,369 | 1,284 | $53K | |
| 92015 | Determination of refractive state | 18% | 2,299 | 2,175 | $51K |
| 92225 | 4.0% | 448 | 222 | $12K | |
| 92060 | 1.9% | 224 | 222 | $6K | |
| V2020 | Frames, purchases | <1% | 30 | 27 | $1K |
| 1159F | 0% | 570 | 566 | $0.00 | |
| 1160F | 0% | 645 | 620 | $0.00 | |
| 3078F | 0% | 463 | 459 | $0.00 | |
| 3028F | 0% | 622 | 617 | $0.00 | |
| 0521F | 0% | 66 | 66 | $0.00 |
9 more codes
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.