Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC

NPI: 1831536481 · SANTA ANA, CA 92701 · Optometrist · NPI assigned 05/22/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more

$9K
Total Medicaid Paid
1,151
Total Claims
987
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialKELLY, MARK (MEMBER, BOARD OF MANAGERS)
NPI Enumeration Date05/22/2013

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
ST. FRANCIS MEDICAL CENTER TRENTON NJ $30.60M
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. MONTEBELLO CA $18.75M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $11.86M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $8.23M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.84M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.74M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.70M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.82M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.10M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.14M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.09M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.93M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.43M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 429 $4K
2019 86 $584.28
2020 127 $2K
2021 216 $1K
2022 272 $2K
2023 21 $446.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 826 800 $8K
92134 226 106 $706.79
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $212.48
92133 44 27 $203.01
92083 26 26 $105.96
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16 16 $85.70