James Mccaffery MD a Professional Corp

James Mccaffery MD a Professional Corp was paid $782K by Medicaid between Jan 2018 and Apr 2024, across 38 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 20% of everything it billed.

33Billing provider infoJAMES MCCAFFERY MD A PROFESSIONAL CORP
GLENDALE, CA 91203

33aNPI1710962865assigned 12/13/2005

33bProvider typeOphthalmology Physician

28Total paid$782K

24GClaims44,376

24DCodes billed38

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#97 of 759

Median peer was paid$35K

This provider vs. median22×

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	9,532	$87K
2019	11,329	$194K
2020	5,069	$135K
2021	7,579	$158K
2022	5,629	$138K
2023	4,225	$53K
2024incomplete	1,013	$17K

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	20%	8,010	7,683	$160K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	7,370	7,237	$158K
67028	Intravitreal injection of a pharmacologic agent	8.9%	1,470	1,290	$69K
J0178	Injection, aflibercept, 1 mg	8.8%	174	167	$69K
65855		8.4%	1,103	765	$65K
92134		4.8%	6,272	6,091	$38K
92250		4.7%	3,199	3,175	$37K
68320		3.9%	186	182	$31K
92226		2.8%	3,183	1,680	$22K
92083		2.8%	1,725	1,715	$22K
67924		2.6%	97	90	$21K
67950		1.9%	172	169	$15K

26 more codes

92133		1.6%	1,335	$12K
00103		1.3%	634	$10K
92015	Determination of refractive state	1.2%	2,258	$9K
92132		<1%	979	$7K
J9035	Injection, bevacizumab, 10 mg	<1%	309	$7K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	231	$5K
92285		<1%	655	$5K
67825		<1%	102	$4K
99213	Doctor's office visit, returning patient (routine)	<1%	314	$4K
68761		<1%	192	$4K
92225		<1%	290	$2K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	13	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	52	$1K
92136		<1%	68	$897.55
92284		<1%	280	$436.55
92201		<1%	57	$275.42
92202		<1%	98	$240.85
67820		<1%	24	$140.31
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	2,176	$38.45
1036F		<1%	784	$1.30
4177F		0%	94	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	61	$0.00
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	0%	13	$0.00
2027F		0%	252	$0.00
2022F		0%	104	$0.00
2026F		0%	40	$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 officialCRUZ, JACQUELINE (PRACTICE ADMINISTRATOR)