Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC

NPI: 1306850250 · LOS ANGELES, CA 90057 · Optometrist · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more

$131K
Total Medicaid Paid
20,234
Total Claims
19,618
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (MEMBER, BOARD OF MANAGERS)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
ST. FRANCIS MEDICAL CENTER TRENTON NJ $30.60M
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. MONTEBELLO CA $18.75M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $11.86M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $8.23M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.84M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.74M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.70M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.82M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.10M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.14M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.09M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.93M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.43M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,299 $3K
2019 3,321 $2K
2020 1,486 $2K
2021 746 $1K
2022 176 $2K
2023 5,125 $30K
2024 6,081 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,305 3,305 $27K
V2020 Frames, purchases 3,851 3,850 $26K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,956 1,952 $25K
92340 Fitting of spectacles, except for aphakia; monofocal 2,534 2,533 $15K
92341 825 825 $12K
92015 Determination of refractive state 5,763 5,763 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 390 380 $10K
92133 498 344 $3K
92134 862 428 $2K
92083 205 202 $1K
67028 Intravitreal injection of a pharmacologic agent 12 12 $374.40
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $61.58
92250 21 12 $54.84