Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.

NPI: 1518971464 · HUNTINGTON PARK, CA 90255 · Optometrist · NPI assigned 07/28/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOON, ERIC controls 20+ related entities in our dataset. Read more

$18K
Total Medicaid Paid
1,857
Total Claims
1,472
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOON, ERIC (PRESIDENT, BOARD OF MANAGERS)
NPI Enumeration Date07/28/2006

Related Entities

Other providers sharing the same authorized official: BOON, ERIC

ProviderCityStateTotal Paid
ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC PHOENIX AZ $14.50M
SURGERY CENTER OF PEORIA, LLC PEORIA AZ $7.00M
PRESBYTERIAN HOSPITAL ASC ALBUQUERQUE NM $6.22M
NEW MEXICO ORTHOPAEDIC SURGERY CENTER, LLC ALBUQUERQUE NM $5.07M
ST. JOSEPH'S SURGERY CENTER LP STOCKTON CA $4.69M
SURGICAL ELITE OF AVONDALE, LLC AVONDALE AZ $4.40M
MED-LASER SURGICAL CENTER LLC MONTEBELLO CA $4.29M
MERCED AMBULATORY SURGERY CENTER, LLC MERCED CA $4.12M
CAMP LOWELL SURGERY CENTER,LLC TUCSON AZ $3.59M
SURGERY CENTER OF SCOTTSDALE LLC GLENDALE AZ $3.50M
TUCSON DIGESTIVE INSTITUTE LLC TUCSON AZ $2.53M
CENTER FOR ENDOSCOPY LLC OCEANSIDE CA $2.15M
PACIFIC ENDOSCOPY CENTER, LLC PEARL CITY HI $2.00M
SURGERY CENTER OF SCOTTSDALE, LLC GILBERT AZ $1.92M
GRASS VALLEY OUTPATIENT SURGERY CENTER LP GRASS VALLEY CA $1.63M
VALLEY SURGERY CENTER AT MODESTO, LLC MODESTO CA $1.24M
GASTROENTEROLOGY ASSOCIATES, LLC OLYMPIA WA $1.23M
SAN MARTIN SURGERY CENTER LLC LAS VEGAS NV $1.17M
PHYSICIANS SURGERY CENTER OF MODESTO LLC MODESTO CA $1.13M
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC PHOENIX AZ $1.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 427 $7K
2019 80 $157.82
2020 14 $7.21
2022 144 $325.26
2023 367 $4K
2024 825 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 318 310 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 159 159 $4K
92134 754 380 $3K
92015 Determination of refractive state 316 316 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 72 72 $867.70
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27 26 $468.60
V2020 Frames, purchases 98 98 $364.42
92202 100 99 $220.89
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $132.91