Physician
Orange County Retina Medical Group
Orange County Retina Medical Group was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 49% of everything it billed.
33Billing provider infoORANGE COUNTY RETINA MEDICAL GROUP
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1750398863assigned 08/02/2006
33bProvider typeOphthalmology Physician
28Total paid$2.79M
24GClaims69,734
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#40 of 759
Median peer was paid$35K
This provider vs. median79×
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 | 10,453 | $195K | |
| 2019 | 4,710 | $130K | |
| 2020 | 7,672 | $202K | |
| 2021 | 14,036 | $347K | |
| 2022 | 13,950 | $401K | |
| 2023 | 12,643 | $690K | |
| 2024incomplete | 6,270 | $823K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 49% | 3,256 | 2,808 | $1.36M |
| 67028 | Intravitreal injection of a pharmacologic agent | 28% | 6,629 | 5,563 | $793K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 8.2% | 522 | 446 | $229K |
| 92134 | 3.4% | 9,184 | 8,762 | $94K | |
| 92201 | 2.0% | 5,886 | 5,351 | $55K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 4,710 | 4,622 | $55K |
| 92226 | 1.8% | 3,435 | 1,677 | $49K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 708 | 636 | $38K |
| 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 | 1.1% | 1,826 | 1,795 | $31K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 239 | 163 | $18K |
| J7999 | Compounded drug, not otherwise classified | <1% | 662 | 591 | $14K |
| J2778 | Injection, ranibizumab, 0.1 mg | <1% | 30 | 25 | $11K |
22 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 220 | $9K |
| J0177 | Injection, aflibercept hd, 1 mg | <1% | 16 | $9K |
| 92235 | <1% | 536 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 177 | $6K |
| 92202 | <1% | 395 | $4K | |
| 4177F | <1% | 3,002 | $3K | |
| 92250 | <1% | 253 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 24 | $2K |
| 92225 | <1% | 162 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $66.42 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 488 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 5,002 | $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% | 1,299 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,639 | $0.00 |
| 1036F | 0% | 5,546 | $0.00 | |
| 2022F | 0% | 1,566 | $0.00 | |
| 2024F | 0% | 1,561 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,222 | $0.00 |
| 5010F | 0% | 1,310 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 3,610 | $0.00 |
| 2026F | 0% | 1,558 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 44 | $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 officialTRECKER, AMY (RCM MANAGER)