Physician
Vargas, Lorna
Vargas, Lorna was paid $532K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 47% of everything it billed.
33Billing provider infoVARGAS, LORNA
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1942208509assigned 07/08/2005
33bProvider typeOphthalmology Physician
28Total paid$532K
24GClaims16,083
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#36 of 141
Median peer was paid$163K
This provider vs. median3.3×
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 | 2,631 | $48K | |
| 2019 | 2,952 | $59K | |
| 2020 | 2,025 | $60K | |
| 2021 | 2,412 | $96K | |
| 2022 | 2,386 | $91K | |
| 2023 | 1,918 | $94K | |
| 2024incomplete | 1,759 | $84K |
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 | 47% | 4,653 | 4,139 | $251K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 710 | 666 | $76K |
| 92015 | Determination of refractive state | 12% | 2,460 | 2,269 | $61K |
| 92250 | 8.8% | 2,656 | 2,467 | $47K | |
| 92134 | 5.0% | 1,383 | 1,242 | $27K | |
| 92083 | 4.0% | 515 | 499 | $21K | |
| 92225 | 2.6% | 1,350 | 604 | $14K | |
| 92201 | 2.3% | 937 | 832 | $12K | |
| 92133 | 1.8% | 401 | 391 | $10K | |
| 92002 | 1.7% | 302 | 291 | $9K | |
| 76514 | <1% | 490 | 472 | $4K | |
| 83861 | 0% | 226 | 75 | $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.