Physician
Eye Medical Clinic of Fresno, INC
Eye Medical Clinic of Fresno, INC was paid $1.65M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 21% of everything it billed.
33Billing provider infoEYE MEDICAL CLINIC OF FRESNO, INC
FRESNO, CA 93720
FRESNO, CA 93720
33aNPI1306853452assigned 08/02/2006
33bProvider typeOphthalmology Physician
28Total paid$1.65M
24GClaims137,226
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#63 of 759
Median peer was paid$35K
This provider vs. median47×
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 | 17,745 | $181K | |
| 2019 | 23,979 | $155K | |
| 2020 | 20,292 | $140K | |
| 2021 | 23,829 | $219K | |
| 2022 | 17,289 | $313K | |
| 2023 | 18,885 | $310K | |
| 2024incomplete | 15,207 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 21% | 19,024 | 15,580 | $354K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 21% | 2,903 | 2,722 | $347K |
| J0178 | Injection, aflibercept, 1 mg | 19% | 2,267 | 2,087 | $320K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 9,775 | 9,773 | $124K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.4% | 10,337 | 10,294 | $73K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.9% | 16,384 | 15,690 | $64K |
| 92134 | 3.4% | 25,594 | 24,618 | $56K | |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 2.9% | 266 | 245 | $47K |
| J9035 | Injection, bevacizumab, 10 mg | 2.6% | 6,144 | 5,174 | $43K |
| 92015 | Determination of refractive state | 2.6% | 15,921 | 15,897 | $42K |
| V2020 | Frames, purchases | 1.4% | 5,322 | 5,315 | $23K |
| 92136 | 1.4% | 2,947 | 2,879 | $23K |
23 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 4,770 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 5,302 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,955 | $16K |
| 67228 | <1% | 727 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 907 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,127 | $10K |
| J2778 | Injection, ranibizumab, 0.1 mg | <1% | 411 | $9K |
| 67210 | <1% | 379 | $7K | |
| 92235 | <1% | 617 | $5K | |
| 92250 | <1% | 1,272 | $4K | |
| 99243 | <1% | 370 | $4K | |
| 92083 | <1% | 1,213 | $3K | |
| 92133 | <1% | 526 | $2K | |
| 92341 | <1% | 173 | $711.80 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $540.85 |
| 76512 | <1% | 73 | $505.12 | |
| 76514 | <1% | 127 | $186.16 | |
| J7999 | Compounded drug, not otherwise classified | <1% | 112 | $150.40 |
| 99242 | <1% | 12 | $47.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 164 | $0.00 |
| 92020 | 0% | 13 | $0.00 | |
| 92285 | 0% | 68 | $0.00 | |
| 92002 | 0% | 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 officialBERTOLUCCI, GEORGE (PRESIDENT)