Physician
Hernandez Ruiz, Jorge
Hernandez Ruiz, Jorge was paid $578K by Medicaid between Jan 2018 and Apr 2024, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 67% of everything it billed.
33Billing provider infoHERNANDEZ RUIZ, JORGE
PONCE, PR 00717
PONCE, PR 00717
33aNPI1952391641assigned 10/25/2005
33bProvider typeOphthalmology Physician
28Total paid$578K
24GClaims20,947
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#34 of 141
Median peer was paid$163K
This provider vs. median3.5×
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 | 7,606 | $174K | |
| 2019 | 7,006 | $150K | |
| 2020 | 1,419 | $33K | |
| 2021 | 2,394 | $75K | |
| 2022 | 1,892 | $86K | |
| 2023 | 522 | $51K | |
| 2024incomplete | 108 | $9K |
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 | 67% | 5,367 | 4,896 | $386K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 930 | 858 | $126K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.5% | 463 | 424 | $49K |
| 92226 | 1.2% | 5,614 | 2,517 | $7K | |
| 92015 | Determination of refractive state | <1% | 86 | 86 | $3K |
| 92020 | <1% | 2,983 | 2,788 | $1K | |
| 92133 | <1% | 1,591 | 1,480 | $1K | |
| 65855 | <1% | 14 | 12 | $990.40 | |
| 92225 | <1% | 1,080 | 482 | $838.19 | |
| 92083 | <1% | 246 | 224 | $670.06 | |
| 92250 | <1% | 382 | 339 | $638.68 | |
| 92134 | <1% | 298 | 269 | $395.88 |
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.