Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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De LA Pena Eye Clinic, a Medical Group, INC

De LA Pena Eye Clinic, a Medical Group, INC was paid $9K by Medicaid between Jan 2018 and Jan 2023, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 86% of everything it billed.

33Billing provider infoDE LA PENA EYE CLINIC, A MEDICAL GROUP, INC
SANTA ANA, CA 92701
33aNPI1831536481assigned 05/22/2013
33bProvider typeOptometrist
28Total paid$9K
24GClaims1,151
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,180 of 1,899
Median peer was paid$23K
This provider vs. median0.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K2018201920202021202220232024
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
2018429$4K
201986$584.28
2020127$2K
2021216$1K
2022272$2K
202321$446.24
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 86% 826 800 $8K
92134 7.5% 226 106 $706.79
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 13 12 $212.48
92133 2.1% 44 27 $203.01
92083 1.1% 26 26 $105.96
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 16 16 $85.70

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 officialKELLY, MARK (MEMBER, BOARD OF MANAGERS)
Same official

Other billing entities under KELLY, MARK

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.