Physician
Tory Prestera MD INC.
Tory Prestera MD INC. was paid $14.34M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 19% of everything it billed.
33Billing provider infoTORY PRESTERA MD INC.
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
33aNPI1073970687assigned 01/27/2016
33bProvider typeOphthalmology Physician
28Total paid$14.34M
24GClaims123,865
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#4 of 759
Median peer was paid$35K
This provider vs. median406×
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 | 11,540 | $983K | |
| 2019 | 17,713 | $1.45M | |
| 2020 | 16,611 | $1.45M | |
| 2021 | 15,965 | $1.36M | |
| 2022 | 20,099 | $2.53M | |
| 2023 | 26,628 | $4.34M | |
| 2024incomplete | 15,309 | $2.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 19% | 1,723 | 1,446 | $2.72M |
| 67028 | Intravitreal injection of a pharmacologic agent | 18% | 8,566 | 7,107 | $2.58M |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 17% | 1,377 | 1,139 | $2.42M |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 13% | 2,288 | 2,237 | $1.86M |
| 68761 | 4.5% | 5,794 | 3,477 | $651K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.0% | 14,046 | 13,921 | $572K |
| 92250 | 4.0% | 14,762 | 14,654 | $569K | |
| 92134 | 3.0% | 14,397 | 13,990 | $436K | |
| 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 | 2.9% | 5,242 | 5,228 | $418K |
| J9035 | Injection, bevacizumab, 10 mg | 2.0% | 4,095 | 3,483 | $282K |
| 67228 | 1.9% | 947 | 803 | $276K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 10,153 | 9,514 | $269K |
32 more codes
| 92133 | 1.7% | 7,764 | $239K | |
| 92083 | 1.1% | 5,861 | $162K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 4,311 | $154K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 4,626 | $151K |
| 92235 | <1% | 1,642 | $123K | |
| 92136 | <1% | 2,650 | $117K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 554 | $52K |
| 76514 | <1% | 4,863 | $50K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 733 | $49K |
| 92020 | <1% | 2,883 | $46K | |
| 66821 | <1% | 211 | $32K | |
| 92015 | Determination of refractive state | <1% | 1,406 | $20K |
| 99205 | Prolong outpt/office vis | <1% | 201 | $19K |
| 92025 | <1% | 600 | $16K | |
| 99243 | <1% | 198 | $13K | |
| 67210 | <1% | 32 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 542 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 168 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 114 | $7K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 832 | $5K |
| 65855 | <1% | 15 | $3K | |
| 92225 | <1% | 18 | $888.58 | |
| 92201 | <1% | 35 | $668.61 | |
| 76512 | <1% | 17 | $605.30 | |
| 92081 | <1% | 13 | $305.83 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 97 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 14 | $0.00 |
| 0517F | 0% | 14 | $0.00 | |
| 3284F | 0% | 14 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 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 officialPRESTERA, TORY (OWNER/PROVIDER)