Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST LUCIA EYE CENTER MEDICAL CORP

NPI: 1699783506 · HUNTINGTON PARK, CA 90255 · Ophthalmology Physician · NPI assigned 08/04/2006

$568K
Total Medicaid Paid
27,994
Total Claims
27,505
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMONTOYA, CARLOS (PRESIDENT)
NPI Enumeration Date08/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,110 $63K
2019 4,539 $93K
2020 4,331 $100K
2021 4,041 $93K
2022 4,166 $97K
2023 4,382 $73K
2024 3,425 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7,891 7,542 $204K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,112 5,106 $114K
67028 Intravitreal injection of a pharmacologic agent 245 197 $52K
V2020 Frames, purchases 2,528 2,527 $26K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,319 1,316 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 586 586 $24K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 55 54 $21K
92083 962 957 $20K
92015 Determination of refractive state 4,718 4,715 $19K
92133 860 849 $17K
92134 853 836 $16K
92340 Fitting of spectacles, except for aphakia; monofocal 2,138 2,137 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 266 265 $12K
J9035 Injection, bevacizumab, 10 mg 197 157 $5K
92250 31 31 $918.49
92136 14 12 $548.13
1036F 192 191 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 27 $0.00