Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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South Gate Optometry INC

South Gate Optometry INC was paid $841K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoSOUTH GATE OPTOMETRY INC
SOUTH GATE, CA 90280
33aNPI1154514370assigned 08/21/2007
33bProvider typeOptometrist
28Total paid$841K
24GClaims50,563
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#85 of 1,899
Median peer was paid$23K
This provider vs. median37×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,784$45K
20198,102$125K
20207,190$120K
20219,690$195K
20228,539$159K
20237,064$98K
2024incomplete5,194$99K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 32% 7,931 7,905 $268K
V2020 Frames, purchases 22% 11,724 11,687 $185K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 4,963 4,946 $140K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 9,113 9,106 $105K
92015 Determination of refractive state 7.5% 14,117 14,068 $63K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.7% 418 411 $31K
92250 2.7% 724 722 $23K
92341 2.5% 1,331 1,325 $21K
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% 228 206 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 14 14 $105.37

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 officialPENNINO, ANNA (OWNER)