East Bay Retina Consultants a Medical Group, INC.

East Bay Retina Consultants a Medical Group, INC. was paid $5.44M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 36% of everything it billed.

33Billing provider infoEAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC.
OAKLAND, CA 94609

33aNPI1790965341assigned 11/13/2007

33bProvider typeOphthalmology Physician

28Total paid$5.44M

24GClaims92,046

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#11 of 759

Median peer was paid$35K

This provider vs. median154×

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	11,716	$457K
2019	14,267	$581K
2020	11,667	$424K
2021	13,659	$746K
2022	12,091	$800K
2023	15,054	$1.21M
2024incomplete	13,592	$1.22M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	36%	24,704	21,344	$1.94M
J0178	Injection, aflibercept, 1 mg	30%	2,812	2,616	$1.64M
J9035	Injection, bevacizumab, 10 mg	14%	11,434	9,866	$776K
92134		9.6%	34,201	31,422	$521K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	4.2%	5,986	5,778	$229K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	3,782	3,695	$106K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.1%	1,629	1,596	$61K
92250		<1%	2,372	2,239	$43K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	331	327	$22K
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	<1%	317	315	$21K
J2777	Injection, faricimab-svoa, 0.1 mg	<1%	14	13	$21K
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	<1%	498	485	$20K

7 more codes

J7999	Compounded drug, not otherwise classified	<1%	2,385	$19K
92235		<1%	299	$14K
92202		<1%	886	$5K
92226		<1%	227	$5K
67228		<1%	17	$2K
92201		<1%	129	$2K
92225		<1%	23	$588.12

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 officialLEE, SOON (CORPORATE VICE PRESIDENT)