Medicaid Provider Spending

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

JAMES MCCAFFERY MD A PROFESSIONAL CORP

NPI: 1710962865 · GLENDALE, CA 91203 · Ophthalmology Physician · NPI assigned 12/13/2005

$782K
Total Medicaid Paid
44,376
Total Claims
41,362
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialCRUZ, JACQUELINE (PRACTICE ADMINISTRATOR)
NPI Enumeration Date12/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,013 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8,010 7,683 $160K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,370 7,237 $158K
67028 Intravitreal injection of a pharmacologic agent 1,470 1,290 $69K
J0178 Injection, aflibercept, 1 mg 174 167 $69K
65855 1,103 765 $65K
92134 6,272 6,091 $38K
92250 3,199 3,175 $37K
68320 186 182 $31K
92226 3,183 1,680 $22K
92083 1,725 1,715 $22K
67924 97 90 $21K
67950 172 169 $15K
92133 1,335 1,327 $12K
00103 634 622 $10K
92015 Determination of refractive state 2,258 2,244 $9K
92132 979 975 $7K
J9035 Injection, bevacizumab, 10 mg 309 282 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 231 231 $5K
92285 655 653 $5K
67825 102 92 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 314 311 $4K
68761 192 187 $4K
92225 290 153 $2K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 13 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52 52 $1K
92136 68 68 $897.55
92284 280 280 $436.55
92201 57 57 $275.42
92202 98 97 $240.85
67820 24 24 $140.31
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,176 2,124 $38.45
1036F 784 766 $1.30
4177F 94 93 $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) 61 60 $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 13 13 $0.00
2027F 252 250 $0.00
2022F 104 104 $0.00
2026F 40 40 $0.00