California Eye Care Managed Eye Care Specialists a Medical Group INC.
California Eye Care Managed Eye Care Specialists a Medical Group INC. was paid $235K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoCALIFORNIA EYE CARE MANAGED EYE CARE SPECIALISTS A MEDICAL GROUP INC.
BREA, CA 92821
BREA, CA 92821
33aNPI1760798078assigned 08/24/2010
33bProvider typeOptometrist
28Total paid$235K
24GClaims112,011
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#266 of 1,899
Median peer was paid$23K
This provider vs. median10×
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 | 3,253 | $2K | |
| 2019 | 3,751 | $2K | |
| 2020 | 5,200 | $34K | |
| 2021 | 16,872 | $18K | |
| 2022 | 26,807 | $13K | |
| 2023 | 23,259 | $55K | |
| 2024incomplete | 32,869 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 11,970 | 11,662 | $48K |
| 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 | 16% | 7,697 | 7,673 | $37K |
| 67028 | Intravitreal injection of a pharmacologic agent | 13% | 4,326 | 3,537 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 9,148 | 9,014 | $26K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.2% | 7,560 | 7,527 | $17K |
| 92060 | 6.9% | 4,921 | 4,857 | $16K | |
| J9035 | Injection, bevacizumab, 10 mg | 6.6% | 2,107 | 1,762 | $16K |
| 92134 | 6.0% | 12,536 | 12,137 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 3,991 | 3,841 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.7% | 7,285 | 6,913 | $9K |
| 92015 | Determination of refractive state | 3.1% | 12,346 | 12,243 | $7K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.3% | 153 | 152 | $3K |
35 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 86 | $1K |
| 2022F | <1% | 5,691 | $566.44 | |
| 92202 | <1% | 140 | $207.92 | |
| 92133 | <1% | 2,364 | $163.22 | |
| 92083 | <1% | 1,530 | $158.00 | |
| 92136 | <1% | 239 | $150.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 488 | $86.00 |
| 92250 | <1% | 3,690 | $84.26 | |
| 92002 | <1% | 91 | $74.30 | |
| 76519 | <1% | 64 | $54.27 | |
| 92226 | <1% | 146 | $39.52 | |
| 92025 | <1% | 302 | $26.55 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 294 | $4.96 |
| 2024F | <1% | 3,213 | $0.66 | |
| 2026F | <1% | 3,107 | $0.60 | |
| 2021F | <1% | 1,539 | $0.43 | |
| 2023F | <1% | 2,275 | $0.01 | |
| 99072 | 0% | 51 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 242 | $0.00 |
| 2025F | 0% | 13 | $0.00 | |
| 66982 | 0% | 12 | $0.00 | |
| 76514 | 0% | 305 | $0.00 | |
| V2020 | Frames, purchases | 0% | 38 | $0.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 13 | $0.00 |
| 68761 | 0% | 22 | $0.00 | |
| 2033F | 0% | 597 | $0.00 | |
| 99024 | 0% | 953 | $0.00 | |
| 3072F | 0% | 238 | $0.00 | |
| 92082 | 0% | 33 | $0.00 | |
| 4177F | 0% | 70 | $0.00 | |
| 92229 | 0% | 33 | $0.00 | |
| 67228 | 0% | 48 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 18 | $0.00 |
| 1036F | 0% | 12 | $0.00 | |
| 92285 | 0% | 14 | $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 officialLEMLEY, MARCUS (DIRECTOR)