Clinic
Optima Ophthalmic Medical Associates INC
Optima Ophthalmic Medical Associates INC was paid $801K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 98% of everything it billed.
33Billing provider infoOPTIMA OPHTHALMIC MEDICAL ASSOCIATES INC
HAYWARD, CA 94541
HAYWARD, CA 94541
33aNPI1346287414assigned 05/31/2006
33bProvider typeOphthalmologic Surgery Clinic/Center
28Total paid$801K
24GClaims917
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Ophthalmologic Surgery Clinic/Center providers in California
Rank by total paid#6 of 23
Median peer was paid$113K
This provider vs. median7.1×
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 | 210 | $160K | |
| 2019 | 231 | $207K | |
| 2020 | 57 | $51K | |
| 2021 | 136 | $106K | |
| 2022 | 61 | $56K | |
| 2023 | 69 | $59K | |
| 2024incomplete | 153 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 98% | 820 | 696 | $788K |
| 67228 | 1.1% | 41 | 30 | $9K | |
| 66821 | <1% | 15 | 12 | $4K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 41 | 40 | $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 officialMANDEL, MARK (SECRETARY TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Optima Ophthalmic Medical Associates, INC | Hayward, CA | $1.67M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.