Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Jules Stein Eye Institute Medical Group

Jules Stein Eye Institute Medical Group was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 21% of everything it billed.

33Billing provider infoJULES STEIN EYE INSTITUTE MEDICAL GROUP
LOS ANGELES, CA 90095
33aNPI1326006966assigned 05/03/2006
33bProvider typeOphthalmology Physician
28Total paid$2.16M
24GClaims59,961
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#53 of 759
Median peer was paid$35K
This provider vs. median61×

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.

Entity ProliferationAuthorized official HALE, KATHERINE controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20186,718$121K
20199,280$297K
20207,651$248K
202110,176$338K
20228,486$380K
20237,425$345K
2024incomplete10,225$430K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 21% 6,469 5,707 $463K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 11% 1,001 929 $242K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11% 9,263 8,527 $229K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10% 6,598 6,439 $217K
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 9.8% 4,121 3,941 $211K
J0178 Injection, aflibercept, 1 mg 8.0% 277 250 $174K
92134 7.9% 11,221 10,762 $171K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 3,178 2,998 $85K
92083 3.5% 4,087 4,052 $75K
92250 3.1% 3,565 3,498 $66K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.5% 1,123 1,118 $54K
92133 2.4% 3,678 3,624 $53K
21 more codes
99204 Doctor's office visit, new patient (more involved) 1.5% 466 $33K
92136 1.1% 1,144 $24K
99215 Doctor's office visit, returning patient (complex) <1% 310 $16K
J7999 Compounded drug, not otherwise classified <1% 486 $13K
92060 <1% 244 $10K
76512 <1% 230 $5K
76514 <1% 1,025 $3K
92020 <1% 361 $3K
92201 <1% 392 $2K
99221 <1% 52 $2K
99203 Doctor's office visit, new patient (routine) <1% 41 $2K
66821 <1% 14 $1K
92015 Determination of refractive state <1% 82 $1K
92285 <1% 122 $952.39
92226 <1% 114 $828.59
99205 Prolong outpt/office vis <1% 14 $397.08
92025 <1% 26 $389.76
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 15 $372.54
1160F 0% 70 $0.00
1159F 0% 139 $0.00
2022F 0% 33 $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 officialHALE, KATHERINE (DIRECTOR OF ACCOUNTING)
Same official

Other billing entities under HALE, KATHERINE

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