DOCTOR RETINA
NPI: 1487049185
· BEVERLY HILLS, CA 90211
· Ophthalmologic Surgery Clinic/Center
· NPI assigned 03/31/2015
$230K
Total Medicaid Paid
Provider Details
| Authorized Official | LALEZARY, MAZIAR (PRESIDENT/CEO) |
| NPI Enumeration Date | 03/31/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
66 |
$2K |
| 2020 |
572 |
$30K |
| 2021 |
708 |
$30K |
| 2022 |
803 |
$35K |
| 2023 |
1,292 |
$79K |
| 2024 |
1,625 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
580 |
488 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,649 |
1,542 |
$52K |
| 92134 |
|
1,361 |
1,299 |
$35K |
| 92250 |
|
1,227 |
1,145 |
$34K |
| J9035 |
Injection, bevacizumab, 10 mg |
86 |
77 |
$4K |
| 92201 |
|
94 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$1K |
| 67515 |
|
29 |
26 |
$1K |
| 92226 |
|
16 |
12 |
$346.77 |