Physician
California Eye Clinic
California Eye Clinic was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoCALIFORNIA EYE CLINIC
ANTIOCH, CA 94509
ANTIOCH, CA 94509
33aNPI1073658027assigned 02/20/2007
33bProvider typeOphthalmology Physician
28Total paid$617K
24GClaims72,964
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#113 of 759
Median peer was paid$35K
This provider vs. median17×
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 | 5,566 | $134K | |
| 2019 | 6,959 | $80K | |
| 2020 | 6,966 | $51K | |
| 2021 | 8,266 | $41K | |
| 2022 | 10,863 | $49K | |
| 2023 | 15,270 | $122K | |
| 2024incomplete | 19,074 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 3,420 | 3,401 | $186K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 3,286 | 3,266 | $139K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 2,368 | 2,225 | $96K |
| 92015 | Determination of refractive state | 12% | 9,048 | 8,948 | $73K |
| 00142 | 5.8% | 494 | 464 | $36K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 4.9% | 29 | 25 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 967 | 887 | $29K |
| V2020 | Frames, purchases | 1.2% | 353 | 352 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.2% | 346 | 346 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 152 | 142 | $7K |
| 00103 | <1% | 13 | 13 | $2K | |
| 92083 | <1% | 46 | 40 | $1K |
21 more codes
| 92136 | <1% | 17 | $753.30 | |
| 92134 | <1% | 17 | $432.82 | |
| 92025 | <1% | 16 | $413.19 | |
| 92133 | <1% | 14 | $290.90 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,215 | $0.00 |
| 4040F | 0% | 9,698 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 2,769 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 7,166 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 507 | $0.00 |
| 2027F | 0% | 15 | $0.00 | |
| 2022F | 0% | 73 | $0.00 | |
| 0517F | 0% | 478 | $0.00 | |
| 2024F | 0% | 73 | $0.00 | |
| 2026F | 0% | 73 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 10,206 | $0.00 |
| 1036F | 0% | 10,304 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 8,228 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 512 | $0.00 |
| 3072F | 0% | 29 | $0.00 | |
| 3285F | 0% | 16 | $0.00 | |
| 3284F | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialDIAZ, CARLIE (MANAGER)