Ugalde, Raul
Ugalde, Raul was paid $16K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoUGALDE, RAUL
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1659441434assigned 11/08/2006
33bProvider typeOptometrist
28Total paid$16K
24GClaims1,646
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,048 of 1,899
Median peer was paid$23K
This provider vs. median0.7×
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 | 475 | $2K | |
| 2019 | 833 | $9K | |
| 2020 | 338 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35% | 229 | 229 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 260 | 260 | $4K |
| V2020 | Frames, purchases | 15% | 246 | 245 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 232 | 229 | $2K |
| 92015 | Determination of refractive state | 13% | 667 | 666 | $2K |
| 92341 | 1.6% | 12 | 12 | $256.14 |
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.