Physician
Triangle Eye Institute
Triangle Eye Institute was paid $227K by Medicaid between Aug 2018 and Jun 2019, across 23 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 21% of everything it billed.
33Billing provider infoTRIANGLE EYE INSTITUTE
BAKERSFIELD, CA 93309
BAKERSFIELD, CA 93309
33aNPI1700052206assigned 05/05/2008
33bProvider typeOphthalmology Physician
28Total paid$227K
24GClaims4,737
24DCodes billed23
24AFirst – last monthAug 2018 – Jun 2019
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#209 of 759
Median peer was paid$35K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2018 | 1,741 | $87K | |
| 2019 | 2,996 | $140K |
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 | 21% | 1,150 | 1,074 | $48K |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 133 | 103 | $28K |
| 68761 | 9.9% | 297 | 279 | $22K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.9% | 413 | 404 | $18K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.9% | 79 | 77 | $13K |
| 92226 | 5.8% | 391 | 206 | $13K | |
| 92250 | 5.8% | 370 | 361 | $13K | |
| 92134 | 5.1% | 338 | 321 | $11K | |
| J9035 | Injection, bevacizumab, 10 mg | 3.9% | 34 | 26 | $9K |
| 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 | 3.8% | 280 | 249 | $9K |
| 92285 | 3.5% | 199 | 195 | $8K | |
| 92225 | 3.0% | 193 | 104 | $7K |
11 more codes
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 officialGONZALEZ, SANDRA (BILLING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| San Marcos Medical Group INC. | San Bernardino, CA | $838K |
| RGV Optical Images LLC | Laredo, TX | $2K |
| San Marcos Medical Group, INC. | Rialto, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.