Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Molina, Roberto

Molina, Roberto was paid $719K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.

33Billing provider infoMOLINA, ROBERTO
DEMING, NM 88030
33aNPI1962544841assigned 02/13/2007
33bProvider typeOptometrist
28Total paid$719K
24GClaims20,620
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in New Mexico

Rank by total paid#23 of 122
Median peer was paid$112K
This provider vs. median6.4×

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$10K$20K2018201920202021202220232024
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
20184,484$152K
20194,992$138K
20203,788$100K
20212,870$86K
20221,668$63K
20231,661$88K
2024incomplete1,157$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 58% 4,767 4,737 $415K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 10% 2,165 2,140 $72K
V2020 Frames, purchases 8.5% 2,877 2,852 $61K
92340 Fitting of spectacles, except for aphakia; monofocal 8.4% 3,489 3,445 $60K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.5% 444 443 $32K
V2025 Deluxe frame 3.3% 769 767 $24K
92015 Determination of refractive state 2.5% 4,574 4,539 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.8% 150 147 $13K
92225 <1% 310 303 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 555 555 $6K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 124 124 $6K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 274 274 $5K
2 more codes
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 79 $879.36
V2760 Scratch resistant coating, per lens 0% 43 $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.