Physician
Emerald Eye Center INC
Emerald Eye Center INC was paid $229K by Medicaid between Mar 2018 and Sep 2024, across 22 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 45% of everything it billed.
33Billing provider infoEMERALD EYE CENTER INC
ENCINO, CA 91436
ENCINO, CA 91436
33aNPI1336241199assigned 09/02/2006
33bProvider typeOphthalmology Physician
28Total paid$229K
24GClaims12,960
24DCodes billed22
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#205 of 759
Median peer was paid$35K
This provider vs. median6.5×
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 | 19 | $111.08 | |
| 2019 | 56 | $2K | |
| 2020 | 512 | $10K | |
| 2021 | 2,198 | $29K | |
| 2022 | 4,303 | $56K | |
| 2023 | 5,604 | $129K | |
| 2024incomplete | 268 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 45% | 3,289 | 2,959 | $102K |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 131 | 121 | $25K |
| 92250 | 5.4% | 933 | 911 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 517 | 516 | $12K |
| 92082 | 4.8% | 1,189 | 1,180 | $11K | |
| 92133 | 4.6% | 1,196 | 1,183 | $10K | |
| 92134 | 4.3% | 1,428 | 1,364 | $10K | |
| 92100 | 4.0% | 1,050 | 1,039 | $9K | |
| 99205 | Prolong outpt/office vis | 3.6% | 262 | 262 | $8K |
| 92020 | 2.6% | 1,147 | 1,137 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 251 | 245 | $5K |
| 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 | 2.1% | 131 | 131 | $5K |
10 more codes
| J9035 | Injection, bevacizumab, 10 mg | 1.9% | 128 | $4K |
| 92202 | 1.3% | 486 | $3K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 92 | $2K |
| V2020 | Frames, purchases | <1% | 293 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $1K |
| 92015 | Determination of refractive state | <1% | 210 | $854.57 |
| 76514 | <1% | 151 | $224.05 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 13 | $58.17 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 14 | $0.00 |
| 92341 | 0% | 19 | $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 officialMARTIN, FRANK (PRACTICE ADMINISTRATOR)