Clinic
Bay Eye Medical Group INC
Bay Eye Medical Group INC was paid $1.73M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.
33Billing provider infoBAY EYE MEDICAL GROUP INC
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
33aNPI1801899646assigned 05/24/2005
33bProvider typeMedical Specialty Clinic/Center
28Total paid$1.73M
24GClaims27,202
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in California
Rank by total paid#14 of 164
Median peer was paid$37K
This provider vs. median47×
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 | 1,139 | $79K | |
| 2019 | 1,220 | $82K | |
| 2020 | 1,089 | $77K | |
| 2021 | 1,608 | $106K | |
| 2022 | 5,710 | $356K | |
| 2023 | 8,220 | $499K | |
| 2024incomplete | 8,216 | $533K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 3,514 | 3,510 | $462K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 3,701 | 3,698 | $270K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 5,111 | 4,910 | $262K |
| 92015 | Determination of refractive state | 10% | 8,841 | 8,827 | $177K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 9.8% | 709 | 638 | $171K |
| 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 | 9.5% | 1,032 | 1,031 | $165K |
| 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 | 4.6% | 616 | 614 | $79K |
| 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% | 750 | 729 | $75K |
| 92083 | 1.6% | 606 | 605 | $27K | |
| 92136 | 1.0% | 1,175 | 798 | $18K | |
| 92133 | <1% | 525 | 522 | $13K | |
| 92134 | <1% | 374 | 374 | $12K |
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 officialHSEI, REX (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bay Eye Medical Group INC | Watsonville, CA | $557K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.