Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.

NPI: 1114931052 · MONTEBELLO, CA 90640 · Optometrist · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more

$18.75M
Total Medicaid Paid
596,392
Total Claims
570,862
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (MEMBER, BOARD OF MANAGERS)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
ST. FRANCIS MEDICAL CENTER TRENTON NJ $30.60M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $11.86M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $8.23M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.84M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.74M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.70M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.82M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.10M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.14M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.09M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.93M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.43M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.25M
CHILDREN'S HOSPITAL OF ORANGE ORANGE CA $998K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55,985 $1.24M
2019 71,747 $2.09M
2020 50,766 $1.57M
2021 89,155 $2.63M
2022 124,887 $3.89M
2023 111,221 $4.16M
2024 92,631 $3.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
67028 Intravitreal injection of a pharmacologic agent 22,529 21,076 $3.90M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 6,331 5,364 $3.14M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 76,999 75,136 $1.94M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 45,214 45,160 $1.33M
J9035 Injection, bevacizumab, 10 mg 16,867 15,869 $1.26M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42,252 42,136 $1.09M
92134 65,406 53,311 $832K
V2020 Frames, purchases 54,089 54,004 $750K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,030 13,022 $613K
92133 33,813 29,740 $563K
92340 Fitting of spectacles, except for aphakia; monofocal 39,434 39,376 $508K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,511 13,103 $407K
92083 23,234 23,072 $402K
92015 Determination of refractive state 72,002 71,899 $362K
92341 12,967 12,948 $241K
92226 6,414 6,210 $184K
92250 7,258 6,519 $158K
68761 1,413 1,156 $125K
92202 12,594 11,948 $111K
67210 374 354 $94K
67228 441 397 $84K
66761 558 406 $82K
92201 5,943 5,852 $78K
J7999 Compounded drug, not otherwise classified 3,264 3,094 $74K
76519 2,020 1,797 $56K
92225 1,548 1,520 $52K
92136 1,355 1,294 $51K
92020 4,262 4,242 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,281 2,280 $44K
76514 5,081 5,057 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,100 1,076 $25K
67145 80 78 $23K
92025 1,381 1,286 $23K
66982 32 28 $22K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 509 292 $20K
65855 120 109 $15K
92235 231 219 $14K
76512 202 184 $5K
99215 Prolong outpt/office vis 24 24 $1K
99243 147 147 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 14 14 $384.00
V2744 Tint, photochromatic, per lens 12 12 $292.74
92285 31 26 $271.19
99422 25 25 $155.20