Tort Sola, Cesar

Tort Sola, Cesar was paid $197K by Medicaid between Feb 2018 and Apr 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 71% of everything it billed.

33Billing provider infoTORT SOLA, CESAR
CAGUAS, PR 00725

33aNPI1942380142assigned 10/16/2006

33bProvider typeOphthalmology Physician

28Total paid$197K

24GClaims3,124

24DCodes billed8

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#64 of 141

Median peer was paid$163K

This provider vs. median1.2×

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	599	$31K
2019	1,050	$58K
2020	626	$44K
2021	420	$26K
2022	297	$24K
2023	120	$12K
2024incomplete	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	71%	1,348	1,243	$140K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	498	419	$32K
92015	Determination of refractive state	7.4%	389	344	$15K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	5.2%	110	82	$10K
92250		<1%	298	275	$173.61
92134		0%	283	267	$0.00
92202		0%	21	15	$0.00
92226		0%	177	128	$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.