Physician
Eye Associates of Sebastopol Medical Group INC
Eye Associates of Sebastopol Medical Group INC was paid $13K by Medicaid between Sep 2019 and Oct 2024, across 8 billing codes. Its largest line is 17110, — 46% of everything it billed.
33Billing provider infoEYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP INC
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
33aNPI1295729382assigned 09/06/2005
33bProvider typeOphthalmology Physician
28Total paid$13K
24GClaims1,998
24DCodes billed8
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#474 of 759
Median peer was paid$35K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 25 | $24.00 | |
| 2020 | 68 | $168.00 | |
| 2021 | 114 | $224.35 | |
| 2022 | 486 | $3K | |
| 2023 | 669 | $5K | |
| 2024incomplete | 636 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 17110 | 46% | 317 | 309 | $6K | |
| 17000 | 26% | 413 | 410 | $3K | |
| 17003 | 11% | 280 | 277 | $1K | |
| 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 | 9.4% | 531 | 495 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 367 | 338 | $613.45 |
| 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 | 1.1% | 12 | 12 | $137.80 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $80.11 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 66 | 62 | $76.86 |
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 officialKHAMTHEE, KIM (BILLING MANAGER)