Clinic
Orange County Ophthalmology Medical Group
Orange County Ophthalmology Medical Group was paid $963K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 57% of everything it billed.
33Billing provider infoORANGE COUNTY OPHTHALMOLOGY MEDICAL GROUP
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1194803320assigned 11/02/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$963K
24GClaims5,624
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#101 of 347
Median peer was paid$191K
This provider vs. median5.1×
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 | 3,751 | $447K | |
| 2019 | 655 | $59K | |
| 2020 | 213 | $63K | |
| 2021 | 393 | $100K | |
| 2022 | 325 | $120K | |
| 2023 | 239 | $136K | |
| 2024incomplete | 48 | $39K |
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 | 57% | 872 | 730 | $552K |
| 67028 | Intravitreal injection of a pharmacologic agent | 21% | 615 | 521 | $203K |
| 67228 | 6.9% | 418 | 335 | $67K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.0% | 1,048 | 973 | $39K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 985 | 978 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 280 | 280 | $14K |
| 67210 | 1.2% | 45 | 27 | $11K | |
| 92134 | 1.1% | 332 | 327 | $11K | |
| 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% | 117 | 117 | $8K |
| 92250 | <1% | 164 | 161 | $7K | |
| 92083 | <1% | 223 | 220 | $7K | |
| 92133 | <1% | 163 | 162 | $5K |
4 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29 | $1K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 151 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 151 | $0.00 |
| 0490 | 0% | 31 | $0.00 |
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 officialGASSO, RUTH (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Orange County Ophthalmology Medical Group | Garden Grove, CA | $2.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.