Nambiar, Margaret

Nambiar, Margaret was paid $27K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 38% of everything it billed.

33Billing provider infoNAMBIAR, MARGARET
HEMET, CA 92544

33aNPI1043292030assigned 11/16/2005

33bProvider typeOphthalmology Physician

28Total paid$27K

24GClaims840

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#401 of 759

Median peer was paid$35K

This provider vs. median0.8×

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	508	$17K
2019	332	$10K

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	38%	341	324	$10K
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	34%	161	160	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	114	109	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	7.8%	49	49	$2K
92133		4.9%	52	51	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.6%	39	38	$1K
92015	Determination of refractive state	2.2%	84	84	$586.82

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.