Eye Specialties Medical Group INC.

Eye Specialties Medical Group INC. was paid $13K by Medicaid between Aug 2023 and Oct 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 61% of everything it billed.

33Billing provider infoEYE SPECIALTIES MEDICAL GROUP INC.
CASTRO VALLEY, CA 94546

33aNPI1568030260assigned 06/17/2021

33bProvider typeOphthalmology Physician

28Total paid$13K

24GClaims185

24DCodes billed5

24AFirst – last monthAug 2023 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#470 of 759

Median peer was paid$35K

This provider vs. median0.4×

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
2023	13	$2K
2024incomplete	172	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	53	53	$8K
92250		18%	94	94	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.4%	13	13	$1K
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	7.7%	12	12	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.2%	13	13	$437.02

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 officialTAFOYA, DEBORAH (PRACTICE ADMINISTRATOR)