Physician
Macias, Eduardo
Macias, Eduardo was paid $37K by Medicaid between Jan 2018 and Jul 2018, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 21% of everything it billed.
33Billing provider infoMACIAS, EDUARDO
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1871539130assigned 06/22/2006
33bProvider typeOphthalmology Physician
28Total paid$37K
24GClaims867
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#378 of 759
Median peer was paid$35K
This provider vs. median1.1×
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 | 867 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 135 | 133 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 303 | 291 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 87 | 86 | $4K |
| 67228 | 10% | 13 | 12 | $4K | |
| 92250 | 10% | 90 | 84 | $4K | |
| 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 | 7.5% | 71 | 65 | $3K |
| 66821 | 6.0% | 12 | 12 | $2K | |
| J9035 | Injection, bevacizumab, 10 mg | 5.6% | 27 | 25 | $2K |
| 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 | 3.3% | 18 | 16 | $1K |
| 92134 | 2.2% | 14 | 14 | $830.06 | |
| 92083 | 2.0% | 12 | 12 | $724.92 | |
| 92015 | Determination of refractive state | 1.8% | 85 | 85 | $658.19 |
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.