Benitez Aponte, Jose

Benitez Aponte, Jose was paid $301K by Medicaid between Feb 2018 and Nov 2023, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoBENITEZ APONTE, JOSE
HUMACAO, PR 00791

33aNPI1972584878assigned 11/08/2005

33bProvider typeEyewear Supplier

28Total paid$301K

24GClaims5,098

24DCodes billed10

24AFirst – last monthFeb 2018 – Nov 2023

Compared with peers

Next to other Eyewear Supplier providers in Puerto Rico

Rank by total paid#3 of 39

Median peer was paid$20K

This provider vs. median15×

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	1,580	$70K
2019	1,338	$65K
2020	443	$38K
2021	649	$41K
2022	643	$48K
2023	445	$38K

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	41%	1,515	1,428	$124K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	35%	1,861	1,683	$104K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	14%	614	566	$43K
92015	Determination of refractive state	6.2%	511	475	$19K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	2.8%	142	139	$9K
76519		<1%	322	297	$2K
92002		<1%	17	17	$956.06
92201		<1%	58	58	$184.15
92083		<1%	29	28	$180.84
92133		<1%	29	28	$106.60

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.