Consultorio Optometrico De SG, CSP
Consultorio Optometrico De SG, CSP was paid $28K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 61% of everything it billed.
33Billing provider infoCONSULTORIO OPTOMETRICO DE SG, CSP
SAN GERMAN, PR 00683
SAN GERMAN, PR 00683
33aNPI1952312324assigned 08/11/2006
33bProvider typeOptometrist
28Total paid$28K
24GClaims1,623
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#172 of 299
Median peer was paid$40K
This provider vs. median0.7×
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 | 1,518 | $27K | |
| 2019 | 105 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 61% | 716 | 614 | $17K |
| 92225 | 13% | 121 | 87 | $4K | |
| 92002 | 12% | 345 | 281 | $3K | |
| 92226 | 7.3% | 42 | 30 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.2% | 206 | 165 | $2K |
| V2020 | Frames, purchases | <1% | 104 | 97 | $100.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 89 | 82 | $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.
From NPPES
Who's on the registration
Authorized officialMORA, LUIS (OPTOMETRIST/PRESIDENT)