Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ophthalmic Solutions, P.S.C.

Ophthalmic Solutions, P.S.C. was paid $725K by Medicaid between Jan 2018 and Dec 2022, across 12 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 54% of everything it billed.

33Billing provider infoOPHTHALMIC SOLUTIONS, P.S.C.
MAYAGUEZ, PR 00680
33aNPI1942664305assigned 04/11/2016
33bProvider typeOphthalmology Physician
28Total paid$725K
24GClaims9,118
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#29 of 141
Median peer was paid$163K
This provider vs. median4.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,069$374K
20192,809$256K
2020750$28K
2021936$41K
2022554$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 54% 535 415 $394K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11% 2,177 1,910 $83K
92225 8.8% 1,782 780 $64K
92002 7.4% 1,448 1,307 $54K
92226 6.5% 1,668 696 $47K
92202 2.7% 880 849 $20K
67228 2.3% 46 30 $17K
76519 2.3% 229 209 $17K
67028 Intravitreal injection of a pharmacologic agent 1.9% 140 92 $14K
66821 1.0% 34 25 $7K
67210 <1% 16 12 $7K
92250 <1% 163 121 $2K

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 officialGARCIA, ROBERTO (MEDICAL DIRECTOR)
Same official

Other billing entities under GARCIA, ROBERTO

Full network →
ProviderLocationPaid
Roberto Garcia MD PATampa, FL$393K
Finger Lakes Migrant Health Care ProjectGeneva, NY$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.