Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Visalia › NPI 1750641775

California Retina Consultants

California Retina Consultants was paid $327K by Medicaid between Feb 2020 and Oct 2024, across 8 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 37% of everything it billed.

33Billing provider infoCALIFORNIA RETINA CONSULTANTS
VISALIA, CA 93277
33aNPI1750641775assigned 05/23/2012
33bProvider typeSpecialist
28Total paid$327K
24GClaims6,147
24DCodes billed8
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#344 of 1,230
Median peer was paid$51K
This provider vs. median6.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20201,043$22K
20211,139$82K
20221,147$107K
20231,541$65K
2024incomplete1,277$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 37% 1,997 1,771 $120K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 32% 1,004 989 $104K
J0178 Injection, aflibercept, 1 mg 15% 396 278 $49K
92134 6.6% 1,799 1,758 $22K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg 4.7% 130 85 $15K
J2778 Injection, ranibizumab, 0.1 mg 3.4% 413 309 $11K
92250 1.5% 288 280 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 120 119 $2K

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 officialAVERY, ROBERT (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under AVERY, ROBERT

Full network →
ProviderLocationPaid
California Retina ConsultantsBakersfield, CA$17.53M
California Retina ConsultantsOxnard, CA$3.52M
California Retina ConsultantsSanta Maria, CA$728K
California Retina ConsultantsPalmdale, CA$155K
California Retina ConsultantsSan Luis Obispo, CA$140K
California Retina ConsultantsPaso Robles, CA$93K
California Retina ConsultantsValencia, CA$97.62

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.