Chanes, Luis
Chanes, Luis was paid $1.96M by Medicaid between Jan 2018 and Aug 2023, across 13 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 45% of everything it billed.
33Billing provider infoCHANES, LUIS
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1043277361assigned 04/28/2006
33bProvider typeSpecialist
28Total paid$1.96M
24GClaims25,186
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#116 of 1,230
Median peer was paid$51K
This provider vs. median38×
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 | 5,395 | $393K | |
| 2019 | 6,366 | $456K | |
| 2020 | 3,924 | $284K | |
| 2021 | 4,413 | $413K | |
| 2022 | 2,586 | $213K | |
| 2023 | 2,502 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 45% | 689 | 631 | $870K |
| 92250 | 12% | 5,714 | 5,104 | $231K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 4,164 | 3,989 | $197K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.7% | 2,046 | 1,812 | $169K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.2% | 3,486 | 3,469 | $161K |
| 92226 | 5.9% | 3,018 | 1,530 | $115K | |
| 92225 | 4.4% | 2,022 | 1,020 | $85K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.1% | 694 | 692 | $41K |
| 92136 | 1.8% | 438 | 435 | $34K | |
| 92133 | 1.3% | 680 | 635 | $25K | |
| 92083 | <1% | 500 | 498 | $18K | |
| 92202 | <1% | 1,650 | 1,413 | $8K |
1 more codes
| 92201 | <1% | 85 | $973.95 |
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.