Eye Surgical & Medical Associates, INC.
Eye Surgical & Medical Associates, INC. was paid $99K by Medicaid between Jan 2018 and Apr 2024, across 11 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 42% of everything it billed.
33Billing provider infoEYE SURGICAL & MEDICAL ASSOCIATES, INC.
VISALIA, CA 93277
VISALIA, CA 93277
33aNPI1124068523assigned 06/07/2006
33bProvider typeSpecialist
28Total paid$99K
24GClaims2,827
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#522 of 1,230
Median peer was paid$51K
This provider vs. median1.9×
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 | 399 | $15K | |
| 2019 | 708 | $38K | |
| 2020 | 737 | $28K | |
| 2021 | 382 | $14K | |
| 2022 | 352 | $2K | |
| 2023 | 181 | $1K | |
| 2024incomplete | 68 | $462.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 42% | 104 | 81 | $41K |
| 67028 | Intravitreal injection of a pharmacologic agent | 26% | 145 | 91 | $26K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.4% | 375 | 374 | $7K |
| 92015 | Determination of refractive state | 6.4% | 968 | 889 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 362 | 327 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 216 | 216 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 224 | 220 | $3K |
| 92136 | 2.7% | 226 | 179 | $3K | |
| 92250 | 1.3% | 114 | 113 | $1K | |
| 92133 | 1.2% | 66 | 65 | $1K | |
| 92134 | <1% | 27 | 25 | $598.50 |
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 officialBOONE, MICHAEL (CEO)