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NPI 1114915311 · San Juan, PR · Ophthalmology Physician
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Carmen Amaral is a ophthalmology physician provider located in San Juan, Puerto Rico. This profile covers 1 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Carmen Amaral |
| Address | 71 Calle Arzuaga |
| City | San Juan |
| State | PR |
| ZIP | 00925 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | October 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $673.3K |
| Medicare | $990 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 20 | $60 | $990 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 92012 | 140 | 150 | 50 | $60 | $4.3K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 4,720 | $50 | $235.8K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 290 | $730 | $210.5K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 4,370 | $20 | $100.5K |
| 92002 | The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program. | 2,270 | $40 | $90.8K |
| 76519 | The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery. | 230 | $100 | $23.1K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 550 | $20 | $9.9K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 10 | $100 | $1.3K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 40 | $20 | $1K |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 530 | $1 | $530 |
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 25 | 60 | 160 | $380 | $270.5K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 35 | 350 | 540 | $50 | $96.4K |
| 92002 | The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program. | 53 | 440 | 370 | $40 | $38.5K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 42 | 530 | 630 | $20 | $32K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 184 | 200 | 120 | $80 | $30.5K |
| 76519 | The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery. | 9 | 20 | 170 | $70 | $22.8K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 64 | 80 | 180 | $30 | $16.8K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 16 | 60 | 180 | $20 | $7.3K |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 12 | 60 | 100 | $1 | $190 |
Other providers in the same ZIP code as Carmen Amaral, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Special Care Pharmacy Services, LLC | PR | Pharmacy | $0 | $12.9M |
| Laboratorio Clinico Rio Piedras I | PR | Clinical Medical Laboratory | $0 | $702.3K |
| Laboratorio Clinico Borges | PR | Clinical Medical Laboratory | $0 | $679.7K |
| Walgreen Co | PR | Pharmacy | $78.2K | $0 |
| Maria Zweig | PR | Specialist | $26.8K | $0 |
| Brenda Orta Rodriguez | PR | Geriatric Physical Therapist | $21.6K | $0 |
| Gloriva Pina | PR | Counseling Psychologist | $0 | $19.6K |
| Ivelisse Sambolin Jessurun | PR | Physical Medicine & Rehabilitation Physician | $19.4K | $0 |
| Ricardo Gago Pinero | PR | Rheumatology Physician | $13.6K | $0 |
| Roberto Buxeda | PR | Ophthalmology Physician | $5.6K | $5.5K |
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