Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northern California Retina Vitreous Associates Medical Group, INC.

Northern California Retina Vitreous Associates Medical Group, INC. was paid $4.91M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 74% of everything it billed.

33Billing provider infoNORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC.
MOUNTAIN VIEW, CA 94040
33aNPI1538275920assigned 08/21/2006
33bProvider typeOphthalmology Physician
28Total paid$4.91M
24GClaims55,832
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#14 of 759
Median peer was paid$35K
This provider vs. median139×

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$50K$100K$150K2018201920202021202220232024
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
20185,326$184K
20196,573$292K
20207,086$572K
20218,470$745K
20229,429$1.10M
202310,537$1.18M
2024incomplete8,411$846K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 74% 8,109 6,666 $3.64M
67028 Intravitreal injection of a pharmacologic agent 19% 13,288 12,210 $945K
92134 2.5% 18,678 18,041 $123K
J2777 Injection, faricimab-svoa, 0.1 mg 1.4% 211 188 $71K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.2% 7,981 7,734 $59K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,726 2,718 $25K
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% 1,668 1,614 $14K
92235 <1% 712 670 $11K
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 <1% 845 841 $9K
92250 <1% 1,258 1,219 $9K
J9035 Injection, bevacizumab, 10 mg <1% 183 131 $7K
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% 147 147 $3K
2 more codes
J7999 Compounded drug, not otherwise classified <1% 12 $80.50
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 14 $54.88

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 officialHAYAT, AAMER (CHIEF ADMINISTRATIVE OFFICE)