De LA Pena Eye Clinic, a Medical Group, INC
De LA Pena Eye Clinic, a Medical Group, INC was paid $131K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 20% of everything it billed.
LOS ANGELES, CA 90057
Next to other Optometrist providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,299 | $3K | |
| 2019 | 3,321 | $2K | |
| 2020 | 1,486 | $2K | |
| 2021 | 746 | $1K | |
| 2022 | 176 | $2K | |
| 2023 | 5,125 | $30K | |
| 2024incomplete | 6,081 | $91K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 3,305 | 3,305 | $27K |
| V2020 | Frames, purchases | 20% | 3,851 | 3,850 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 1,956 | 1,952 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 2,534 | 2,533 | $15K |
| 92341 | 9.0% | 825 | 825 | $12K | |
| 92015 | Determination of refractive state | 8.3% | 5,763 | 5,763 | $11K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.5% | 390 | 380 | $10K |
| 92133 | 2.2% | 498 | 344 | $3K | |
| 92134 | 1.5% | 862 | 428 | $2K | |
| 92083 | <1% | 205 | 202 | $1K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 12 | 12 | $374.40 |
| 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% | 12 | 12 | $61.58 |
1 more codes
| 92250 | <1% | 21 | $54.84 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.