Eyecare Specialists Medical Group, INC.
Eyecare Specialists Medical Group, INC. was paid $1.88M by Medicaid between Jul 2019 and Nov 2024, across 22 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 27% of everything it billed.
33Billing provider infoEYECARE SPECIALISTS MEDICAL GROUP, INC.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
33aNPI1750488169assigned 09/20/2006
33bProvider typeOptometrist
28Total paid$1.88M
24GClaims14,562
24DCodes billed22
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#36 of 1,899
Median peer was paid$23K
This provider vs. median83×
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 | |
|---|---|---|---|
| 2019 | 1,131 | $63K | |
| 2020 | 3,341 | $511K | |
| 2021 | 6,605 | $1.15M | |
| 2022 | 2,019 | $133K | |
| 2023 | 445 | $6K | |
| 2024incomplete | 1,021 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 2,057 | 2,056 | $508K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,579 | 1,576 | $260K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 1,806 | 1,773 | $257K |
| 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 | 9.5% | 1,236 | 1,228 | $179K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 6.8% | 44 | 40 | $128K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.5% | 1,265 | 1,220 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 956 | 915 | $95K |
| 92083 | 5.0% | 730 | 727 | $95K | |
| 92134 | 3.7% | 980 | 948 | $69K | |
| 92133 | 2.6% | 711 | 706 | $49K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.2% | 110 | 74 | $41K |
| 92250 | 1.9% | 322 | 321 | $35K |
10 more codes
| J9035 | Injection, bevacizumab, 10 mg | <1% | 222 | $18K |
| V2020 | Frames, purchases | <1% | 509 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $9K |
| 92015 | Determination of refractive state | <1% | 1,500 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 292 | $6K |
| 92002 | <1% | 59 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | $3K |
| 92341 | <1% | 35 | $1K | |
| 92025 | <1% | 13 | $797.99 | |
| 76514 | <1% | 14 | $770.00 |
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 officialGALINDO, FELISA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Eyecare Specialists Medical Group, INC | Long Beach, CA | $816K |
| Eyecare Specialists Medical Group, INC | Anaheim, CA | $205K |
| Eyecare Specialists Medical Group, INC. | Laguna Hills, CA | $116K |
| Eyecare Specialists Medical Group, INC | Montebello, CA | $94K |
| Eyecare Specialists Medical Group, INC. | Downey, CA | $29K |
| Eyecare Specialists Medical Group, INC | Montebello, CA | $16K |
| Eyecare Specialists Medical Group, INC | Palm Desert, CA | $4K |
| Eyecare Specialists Medical Group, INC. | Santa Ana, CA | $2K |
| Eyecare Specialists Medical Group, INC. | Torrance, CA | $402.30 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.