Golden San Gabriel Optometric Vision Center
Golden San Gabriel Optometric Vision Center was paid $323K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoGOLDEN SAN GABRIEL OPTOMETRIC VISION CENTER
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
33aNPI1740216936assigned 06/23/2006
33bProvider typeOptometrist
28Total paid$323K
24GClaims25,446
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#207 of 1,899
Median peer was paid$23K
This provider vs. median14×
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 | 3,567 | $17K | |
| 2019 | 5,707 | $60K | |
| 2020 | 5,170 | $77K | |
| 2021 | 8,899 | $131K | |
| 2022 | 2,103 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 4,099 | 4,099 | $91K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 2,886 | 2,886 | $75K |
| V2020 | Frames, purchases | 20% | 5,090 | 5,087 | $64K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 4,389 | 4,386 | $55K |
| 92015 | Determination of refractive state | 12% | 8,859 | 8,859 | $37K |
| 92341 | <1% | 57 | 56 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 12 | $248.40 |
| 3072F | 0% | 52 | 52 | $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 officialSHIN, JIYEN (OWNER/OPTOMETRIS)