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Pomona Valley Optometry INC

Pomona Valley Optometry INC was paid $490K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.

33Billing provider infoPOMONA VALLEY OPTOMETRY INC
POMONA, CA 91767

33aNPI1316911100assigned 02/16/2006

33bProvider typeOptometrist

28Total paid$490K

24GClaims38,012

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Optometrist providers in California

Rank by total paid#145 of 1,899

Median peer was paid$23K

This provider vs. median22×

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	3,733	$23K
2019	4,565	$39K
2020	4,868	$61K
2021	4,924	$59K
2022	5,871	$80K
2023	6,533	$84K
2024incomplete	7,518	$143K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	25%	6,218	6,185	$122K
V2020	Frames, purchases	18%	7,974	7,940	$88K
92250		16%	2,063	2,031	$79K
92340	Fitting of spectacles, except for aphakia; monofocal	16%	7,175	7,136	$78K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	3,921	3,908	$73K
92015	Determination of refractive state	8.0%	9,998	9,951	$39K
92341		1.8%	510	510	$9K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	118	111	$942.88
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	35	29	$663.32

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 officialLE, KHANH (PRESIDENT)

Same official

Other billing entities under LE, KHANH

Full network →

Provider	Location	Paid
Khanh D. Le, D.D.S.	Canoga Park, CA	$93K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.