DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
NPI: 1114931052
· MONTEBELLO, CA 90640
· 152W00000X
$18.75M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
|
22,529 |
21,076 |
$3.90M |
| 66984 |
|
6,331 |
5,364 |
$3.14M |
| 92012 |
|
76,999 |
75,136 |
$1.94M |
| 92004 |
|
45,214 |
45,160 |
$1.33M |
| J9035 |
Bevacizumab injection |
16,867 |
15,869 |
$1.26M |
| 92014 |
|
42,252 |
42,136 |
$1.09M |
| 92134 |
|
65,406 |
53,311 |
$832K |
| V2020 |
Vision svcs frames purchases |
54,089 |
54,004 |
$750K |
| 99204 |
|
13,030 |
13,022 |
$613K |
| 92133 |
|
33,813 |
29,740 |
$563K |
| 92340 |
|
39,434 |
39,376 |
$508K |
| 99214 |
|
13,511 |
13,103 |
$407K |
| 92083 |
|
23,234 |
23,072 |
$402K |
| 92015 |
|
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, noc |
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 |
|
2,281 |
2,280 |
$44K |
| 76514 |
|
5,081 |
5,057 |
$30K |
| 99213 |
|
1,100 |
1,076 |
$25K |
| 67145 |
|
80 |
78 |
$23K |
| 92025 |
|
1,381 |
1,286 |
$23K |
| 66982 |
|
32 |
28 |
$22K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
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 polycarb or equal |
14 |
14 |
$384.00 |
| V2744 |
Tint photochromatic lens/es |
12 |
12 |
$292.74 |
| 92285 |
|
31 |
26 |
$271.19 |
| 99422 |
|
25 |
25 |
$155.20 |