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

Central Coast Retina INC

Central Coast Retina INC was paid $547K by Medicaid between Oct 2020 and Nov 2024, across 10 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 63% of everything it billed.

33Billing provider infoCENTRAL COAST RETINA INC
SANTA MARIA, CA 93454
33aNPI1558986455assigned 06/16/2020
33bProvider typeOphthalmology Physician
28Total paid$547K
24GClaims8,431
24DCodes billed10
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#127 of 759
Median peer was paid$35K
This provider vs. median16×

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$10K$20K$30K2018201920202021202220232024
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
2020194$9K
20211,580$82K
20222,239$133K
20232,824$193K
2024incomplete1,594$130K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 63% 1,786 1,420 $342K
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 11% 1,738 1,668 $63K
92134 9.7% 2,608 2,032 $53K
J9035 Injection, bevacizumab, 10 mg 5.6% 393 298 $31K
92235 4.9% 580 578 $27K
92250 2.6% 516 515 $14K
J7999 Compounded drug, not otherwise classified 2.5% 672 553 $13K
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% 111 101 $4K
92083 <1% 12 12 $175.45
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 15 15 $157.78

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 officialSEDEEK, RAGUI (OWNER)