Tony D Pham Od INC
Tony D Pham Od INC was paid $133K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoTONY D PHAM OD INC
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
33aNPI1760672315assigned 07/30/2007
33bProvider typeOptometrist
28Total paid$133K
24GClaims9,238
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#446 of 1,899
Median peer was paid$23K
This provider vs. median5.9×
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 | 972 | $13K | |
| 2019 | 751 | $9K | |
| 2020 | 1,277 | $17K | |
| 2021 | 1,786 | $24K | |
| 2022 | 1,382 | $18K | |
| 2023 | 1,549 | $22K | |
| 2024incomplete | 1,521 | $30K |
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 | 27% | 1,541 | 1,537 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 1,243 | 1,234 | $31K |
| V2020 | Frames, purchases | 20% | 1,672 | 1,664 | $26K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,738 | 1,729 | $23K |
| 92015 | Determination of refractive state | 11% | 2,944 | 2,931 | $15K |
| V2025 | Deluxe frame | 1.0% | 71 | 70 | $1K |
| 92341 | <1% | 13 | 13 | $231.82 | |
| 3072F | 0% | 16 | 15 | $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 officialPHAM, TONY (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Paul Medical Clinic, P.S. | Seattle, WA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.