Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Eye Care Center of Napa Valley a Medical Corporation

Eye Care Center of Napa Valley a Medical Corporation was paid $3.72M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 28% of everything it billed.

33Billing provider infoEYE CARE CENTER OF NAPA VALLEY A MEDICAL CORPORATION
NAPA, CA 94558
33aNPI1790781409assigned 06/27/2005
33bProvider typeEyewear Supplier
28Total paid$3.72M
24GClaims33,114
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Eyewear Supplier providers in California

Rank by total paid#5 of 43
Median peer was paid$35K
This provider vs. median107×

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$50K$100K$150K2018201920202021202220232024
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
20183,217$201K
20193,544$263K
20202,843$243K
20214,501$560K
20225,627$784K
20237,308$935K
2024incomplete6,074$732K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 28% 3,914 3,126 $1.05M
J0178 Injection, aflibercept, 1 mg 27% 1,055 946 $988K
J2778 Injection, ranibizumab, 0.1 mg 15% 915 752 $544K
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 7.7% 7,228 6,601 $285K
92134 4.4% 5,546 4,768 $165K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 4,178 3,867 $129K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2.7% 146 114 $100K
92250 2.2% 1,941 1,877 $81K
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 2.2% 933 918 $81K
J2777 Injection, faricimab-svoa, 0.1 mg 2.1% 91 80 $80K
92083 1.4% 1,765 1,723 $53K
92133 1.3% 1,434 1,390 $47K
11 more codes
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.1% 1,773 $42K
99203 Doctor's office visit, new patient (routine) <1% 357 $32K
92136 <1% 323 $12K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 844 $12K
92015 Determination of refractive state <1% 410 $5K
J9035 Injection, bevacizumab, 10 mg <1% 64 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 69 $3K
92235 <1% 26 $2K
92020 <1% 39 $869.70
76514 <1% 47 $338.60
92025 <1% 16 $284.74

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 officialBURKE, KENA (PRACTICE ADMINISTRATOR)