Physician
North Valley Eye Medical Group, INC.
North Valley Eye Medical Group, INC. was paid $169K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoNORTH VALLEY EYE MEDICAL GROUP, INC.
MISSION HILLS, CA 91345
MISSION HILLS, CA 91345
33aNPI1326099680assigned 05/12/2006
33bProvider typeOphthalmology Physician
28Total paid$169K
24GClaims13,394
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#242 of 759
Median peer was paid$35K
This provider vs. median4.8×
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 | 2,203 | $30K | |
| 2019 | 2,706 | $31K | |
| 2020 | 1,446 | $21K | |
| 2021 | 1,342 | $11K | |
| 2022 | 2,361 | $31K | |
| 2023 | 2,182 | $30K | |
| 2024incomplete | 1,154 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,868 | 1,757 | $49K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 1,696 | 1,684 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 1,478 | 1,478 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.5% | 360 | 360 | $16K |
| 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 | 9.2% | 650 | 642 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.2% | 1,012 | 1,012 | $12K |
| 92015 | Determination of refractive state | 5.9% | 4,327 | 4,309 | $10K |
| V2020 | Frames, purchases | 3.6% | 816 | 814 | $6K |
| 92002 | 2.2% | 236 | 236 | $4K | |
| 92133 | 1.3% | 52 | 52 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 205 | 204 | $2K |
| 92083 | <1% | 53 | 52 | $1K |
6 more codes
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 officialRAUCHMAN, STEVEN (OFFICER)