Peninsula Ophthalmology Group, INC.

Peninsula Ophthalmology Group, INC. was paid $54K by Medicaid between Jun 2019 and Oct 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.

33Billing provider infoPENINSULA OPHTHALMOLOGY GROUP, INC.
BURLINGAME, CA 94010

33aNPI1447303995assigned 01/19/2007

33bProvider typeOphthalmology Physician

28Total paid$54K

24GClaims3,226

24DCodes billed7

24AFirst – last monthJun 2019 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#334 of 759

Median peer was paid$35K

This provider vs. median1.5×

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
2019	475	$9K
2020	612	$12K
2021	621	$13K
2022	575	$7K
2023	469	$7K
2024incomplete	474	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	55%	1,463	1,460	$30K
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	28%	928	925	$15K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	13%	564	523	$7K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	1.2%	189	189	$618.30
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	45	44	$581.64
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	<1%	13	13	$351.54
92285		<1%	24	24	$34.32

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 officialALMES, BRENDA (ADMINISTRATOR)