A DE LA PENA M D A MEDICAL GROUP INC
NPI: 1871503557
· MONTEBELLO, CA 90640
· Optometrist
· NPI assigned 08/08/2006
$301K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DE LA PENA, ALBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
135 |
$22K |
| 2023 |
848 |
$93K |
| 2024 |
1,899 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
296 |
261 |
$160K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
826 |
807 |
$41K |
| J9035 |
Injection, bevacizumab, 10 mg |
424 |
375 |
$32K |
| 92134 |
|
562 |
496 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
167 |
$19K |
| 92133 |
|
226 |
222 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
85 |
$6K |
| 92202 |
|
207 |
192 |
$4K |
| 92083 |
|
71 |
71 |
$3K |
| 76514 |
|
13 |
13 |
$130.12 |