Physician
Eduardo P Macias, MD, INC.
Eduardo P Macias, MD, INC. was paid $2.46M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 38% of everything it billed.
33Billing provider infoEDUARDO P MACIAS, MD, INC.
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1366562613assigned 03/30/2007
33bProvider typeOphthalmology Physician
28Total paid$2.46M
24GClaims38,371
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#43 of 759
Median peer was paid$35K
This provider vs. median70×
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 | 6,716 | $442K | |
| 2019 | 7,446 | $471K | |
| 2020 | 7,160 | $495K | |
| 2021 | 5,429 | $326K | |
| 2022 | 4,923 | $319K | |
| 2023 | 3,441 | $227K | |
| 2024incomplete | 3,256 | $177K |
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 | 38% | 1,355 | 1,336 | $941K |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 1,136 | 984 | $298K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 4,170 | 4,104 | $213K |
| 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 | 7.6% | 6,674 | 6,579 | $186K |
| 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 | 4.9% | 2,070 | 2,057 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 5,289 | 5,142 | $103K |
| 92250 | 3.9% | 2,891 | 2,856 | $96K | |
| 92134 | 2.9% | 1,882 | 1,860 | $71K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.4% | 1,034 | 896 | $59K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.2% | 1,182 | 1,173 | $55K |
| 76519 | 1.8% | 787 | 778 | $44K | |
| 92202 | 1.7% | 4,070 | 4,046 | $43K |
15 more codes
| 66821 | 1.6% | 328 | $39K | |
| 92083 | 1.5% | 1,042 | $38K | |
| 92133 | 1.4% | 935 | $36K | |
| 92225 | 1.4% | 757 | $36K | |
| 67228 | <1% | 84 | $21K | |
| 92235 | <1% | 110 | $11K | |
| V2020 | Frames, purchases | <1% | 540 | $10K |
| 92341 | <1% | 277 | $9K | |
| 92015 | Determination of refractive state | <1% | 1,044 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 63 | $4K |
| 76514 | <1% | 290 | $4K | |
| 65426 | <1% | 14 | $4K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 170 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 100 | $2K |
| 92020 | <1% | 77 | $998.38 |
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 officialMACIAS, EDUARDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Macias Family Eye Care, INC. | Riverside, CA | $494K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.