A De LA Pena M D a Medical Group INC
A De LA Pena M D a Medical Group INC was paid $301K by Medicaid between May 2022 and Nov 2024, across 10 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 53% of everything it billed.
33Billing provider infoA DE LA PENA M D A MEDICAL GROUP INC
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1871503557assigned 08/08/2006
33bProvider typeOptometrist
28Total paid$301K
24GClaims2,882
24DCodes billed10
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#216 of 1,899
Median peer was paid$23K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2022 | 135 | $22K | |
| 2023 | 848 | $93K | |
| 2024incomplete | 1,899 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 53% | 296 | 261 | $160K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 826 | 807 | $41K |
| J9035 | Injection, bevacizumab, 10 mg | 11% | 424 | 375 | $32K |
| 92134 | 8.3% | 562 | 496 | $25K | |
| 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 | 6.5% | 167 | 167 | $19K |
| 92133 | 3.3% | 226 | 222 | $10K | |
| 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 | 1.9% | 90 | 85 | $6K |
| 92202 | 1.4% | 207 | 192 | $4K | |
| 92083 | <1% | 71 | 71 | $3K | |
| 76514 | <1% | 13 | 13 | $130.12 |
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 officialDE LA PENA, ALBERT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| A De LA Pena M D a Medical Group INC | Santa Ana, CA | $313K |
| A. De LA Pena M D a Medical Group INC | Van Nuys, CA | $199K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.