Physician
Retina Associates of Orange County
Retina Associates of Orange County was paid $4.10M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 41% of everything it billed.
33Billing provider infoRETINA ASSOCIATES OF ORANGE COUNTY
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1114105384assigned 02/09/2008
33bProvider typeOphthalmology Physician
28Total paid$4.10M
24GClaims63,787
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#19 of 759
Median peer was paid$35K
This provider vs. median116×
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 | 14,807 | $560K | |
| 2019 | 9,487 | $402K | |
| 2020 | 7,300 | $290K | |
| 2021 | 6,099 | $363K | |
| 2022 | 7,072 | $444K | |
| 2023 | 9,177 | $858K | |
| 2024incomplete | 9,845 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 41% | 9,592 | 8,174 | $1.69M |
| J0178 | Injection, aflibercept, 1 mg | 21% | 1,722 | 1,518 | $843K |
| J2778 | Injection, ranibizumab, 0.1 mg | 8.9% | 1,372 | 1,205 | $364K |
| 92134 | 8.2% | 14,529 | 13,418 | $335K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.8% | 1,945 | 1,678 | $117K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 2.4% | 234 | 195 | $97K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.1% | 3,099 | 3,079 | $88K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.1% | 3,231 | 3,167 | $86K |
| 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 | 1.9% | 1,264 | 1,260 | $76K |
| 92226 | 1.8% | 2,875 | 1,813 | $73K | |
| 92202 | <1% | 4,483 | 4,392 | $41K | |
| 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 | <1% | 669 | 662 | $40K |
16 more codes
| 92235 | <1% | 622 | $36K | |
| 92201 | <1% | 1,622 | $31K | |
| J7999 | Compounded drug, not otherwise classified | <1% | 739 | $27K |
| 4040F | <1% | 3,279 | $24K | |
| 1036F | <1% | 3,047 | $22K | |
| 92225 | <1% | 684 | $19K | |
| 67228 | <1% | 49 | $18K | |
| 5010F | <1% | 1,465 | $16K | |
| 2022F | <1% | 1,737 | $13K | |
| 92250 | <1% | 483 | $13K | |
| G8482 | Influenza immunization administered or previously received | <1% | 2,135 | $10K |
| 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 | <1% | 826 | $9K |
| 2021F | <1% | 621 | $8K | |
| 4177F | <1% | 1,185 | $7K | |
| 76512 | <1% | 69 | $2K | |
| 3072F | <1% | 209 | $38.43 |
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 officialMCGUIRE, DESMOND (PRESIDENT)