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Paul T Urrea M D M P H INC

Paul T Urrea M D M P H INC was paid $1.63M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.

33Billing provider infoPAUL T URREA M D M P H INC
LOS ANGELES, CA 90022

33aNPI1619074838assigned 09/20/2006

33bProvider typeOptometrist

28Total paid$1.63M

24GClaims96,775

24DCodes billed24

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Optometrist providers in California

Rank by total paid#40 of 1,899

Median peer was paid$23K

This provider vs. median72×

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	11,525	$126K
2019	13,950	$324K
2020	11,444	$211K
2021	12,172	$218K
2022	15,879	$252K
2023	15,737	$239K
2024incomplete	16,068	$260K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	34%	24,823	24,451	$547K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	13%	11,091	11,074	$219K
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	8.8%	3,101	3,099	$143K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.5%	6,564	6,551	$122K
V2020	Frames, purchases	6.6%	10,664	10,653	$108K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	4.5%	109	109	$73K
92340	Fitting of spectacles, except for aphakia; monofocal	4.2%	7,948	7,940	$68K
92015	Determination of refractive state	4.2%	15,662	15,650	$68K
92341		2.3%	2,567	2,566	$38K
92002		2.2%	1,937	1,937	$37K
92083		2.1%	2,285	2,177	$33K
99244	Office or other outpatient consultation, moderate to high complexity	1.8%	1,007	1,007	$29K

12 more codes

92060		1.7%	2,872	$28K
92133		1.6%	1,943	$25K
99203	Doctor's office visit, new patient (routine)	1.2%	475	$19K
92136		1.1%	532	$19K
92250		1.1%	1,030	$18K
92134		1.1%	1,282	$18K
92025		<1%	603	$9K
66982		<1%	13	$9K
76514		<1%	170	$899.86
76519		<1%	26	$706.63
2022F		0%	15	$0.00
2025F		0%	56	$0.00

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 officialURREA, PAUL (PRESIDENT)

Same official

Other billing entities under URREA, PAUL

Full network →

Provider	Location	Paid
Ophthalmic Health Alliance INC	Los Angeles, CA	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.