Prestera, Tory

Prestera, Tory was paid $55K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 48% of everything it billed.

33Billing provider infoPRESTERA, TORY
SAN MARCOS, CA 92069

33aNPI1346224557assigned 12/01/2005

33bProvider typeOphthalmology Physician

28Total paid$55K

24GClaims1,052

24DCodes billed10

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#331 of 759

Median peer was paid$35K

This provider vs. median1.6×

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	1,039	$55K
2021	13	$343.45

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	48%	97	76	$26K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	235	234	$8K
92134		14%	218	202	$8K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	7.2%	134	130	$4K
92250		6.4%	105	101	$4K
92133		4.9%	111	111	$3K
J9035	Injection, bevacizumab, 10 mg	2.2%	18	15	$1K
92083		1.6%	40	40	$854.97
76514		1.2%	81	77	$664.81
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	12	$343.45

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.