Physician
Center for Retinal and Macular Diseases, INC.
Center for Retinal and Macular Diseases, INC. was paid $5K by Medicaid between Jan 2018 and Jun 2023, across 11 billing codes. Its largest line is 92134, — 48% of everything it billed.
33Billing provider infoCENTER FOR RETINAL AND MACULAR DISEASES, INC.
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
33aNPI1265661821assigned 07/04/2009
33bProvider typeOphthalmology Physician
28Total paid$5K
24GClaims1,730
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#545 of 759
Median peer was paid$35K
This provider vs. median0.1×
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 | 853 | $2K | |
| 2019 | 203 | $711.21 | |
| 2020 | 76 | $424.34 | |
| 2021 | 190 | $439.77 | |
| 2022 | 227 | $655.96 | |
| 2023 | 181 | $472.79 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 48% | 633 | 470 | $2K | |
| 92226 | 21% | 257 | 137 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 194 | 147 | $912.25 |
| 76512 | 7.0% | 90 | 41 | $340.32 | |
| 92201 | 4.1% | 114 | 97 | $198.71 | |
| 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 | <1% | 26 | 24 | $45.38 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 188 | 140 | $0.17 |
| 3285F | 0% | 14 | 12 | $0.00 | |
| 1036F | 0% | 14 | 12 | $0.00 | |
| 2022F | 0% | 186 | 140 | $0.00 | |
| 0517F | 0% | 14 | 12 | $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 officialLERNER, LEONID (MEDICAL DIRECTOR)