Pacific Eye Associates, a Medical Corporation
Pacific Eye Associates, a Medical Corporation was paid $886K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoPACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
33aNPI1265464739assigned 07/07/2006
33bProvider typeOptometrist
28Total paid$886K
24GClaims52,359
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#77 of 1,899
Median peer was paid$23K
This provider vs. median39×
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 | 10,459 | $87K | |
| 2019 | 9,981 | $63K | |
| 2020 | 5,193 | $47K | |
| 2021 | 8,232 | $108K | |
| 2022 | 7,158 | $100K | |
| 2023 | 6,563 | $309K | |
| 2024incomplete | 4,773 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 14,278 | 14,069 | $252K |
| 67028 | Intravitreal injection of a pharmacologic agent | 19% | 3,923 | 3,605 | $164K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 12% | 1,365 | 1,157 | $106K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.8% | 6,686 | 6,425 | $78K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.6% | 2,216 | 2,155 | $59K |
| 92134 | 4.4% | 7,549 | 7,282 | $39K | |
| 92083 | 3.2% | 2,802 | 2,760 | $28K | |
| 92250 | 3.2% | 3,333 | 3,283 | $28K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.7% | 1,487 | 1,442 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 982 | 949 | $23K |
| J0178 | Injection, aflibercept, 1 mg | 2.1% | 74 | 73 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 663 | 660 | $12K |
17 more codes
| 92136 | 1.3% | 1,132 | $12K | |
| 92133 | 1.2% | 2,247 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 377 | $9K |
| 67950 | <1% | 53 | $5K | |
| 92025 | <1% | 401 | $4K | |
| 92020 | <1% | 831 | $3K | |
| 92226 | <1% | 809 | $2K | |
| 92201 | <1% | 497 | $2K | |
| 65855 | <1% | 66 | $2K | |
| 15823 | <1% | 12 | $2K | |
| 92015 | Determination of refractive state | <1% | 125 | $867.64 |
| 76514 | <1% | 246 | $649.68 | |
| 92082 | <1% | 100 | $543.66 | |
| 92285 | <1% | 37 | $34.32 | |
| 92202 | <1% | 27 | $26.44 | |
| 3284F | 0% | 18 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 23 | $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 officialALLEN, ARTHUR (PRESIDENT)