South Bay Retina INC.

South Bay Retina INC. was paid $24K by Medicaid between Feb 2018 and Oct 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoSOUTH BAY RETINA INC.
SAN JOSE, CA 95128

33aNPI1487684106assigned 07/05/2006

33bProvider typeOphthalmology Physician

28Total paid$24K

24GClaims8,270

24DCodes billed17

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#418 of 759

Median peer was paid$35K

This provider vs. median0.7×

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	491	$689.82
2019	1,281	$2K
2020	949	$3K
2021	1,340	$2K
2022	1,629	$6K
2023	1,498	$5K
2024incomplete	1,082	$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	23%	1,767	1,708	$5K
92273		18%	791	787	$4K
65855		15%	111	91	$3K
92250		9.5%	926	887	$2K
67028	Intravitreal injection of a pharmacologic agent	9.3%	72	64	$2K
92134		6.9%	1,017	992	$2K
95930		6.6%	1,286	1,278	$2K
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	4.1%	573	553	$977.61
92083		3.0%	620	614	$706.12
92133		2.5%	702	696	$597.96
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	112	112	$267.62
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	93	90	$122.88

5 more codes

92275		<1%	66	$108.78
0509T		<1%	63	$35.00
99204	Doctor's office visit, new patient (more involved)	<1%	17	$13.66
92132		<1%	12	$2.62
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	42	$0.85

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 officialNARAIN, KESHAV (DIRECTOR)