Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NG Zhao, Pinto

NG Zhao, Pinto was paid $32K by Medicaid between Jan 2018 and Sep 2020, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 42% of everything it billed.

33Billing provider infoNG ZHAO, PINTO
POWAY, CA 92064
33aNPI1366824443assigned 06/24/2015
33bProvider typeOptometrist
28Total paid$32K
24GClaims421
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#854 of 1,899
Median peer was paid$23K
This provider vs. median1.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018365$29K
202056$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42% 132 131 $13K
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 34% 68 68 $11K
92015 Determination of refractive state 17% 165 163 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.1% 56 56 $2K

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.