Physician
East Bay Ophthalmology
East Bay Ophthalmology was paid $19K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 33% of everything it billed.
33Billing provider infoEAST BAY OPHTHALMOLOGY
PINOLE, CA 94564
PINOLE, CA 94564
33aNPI1871783308assigned 07/31/2007
33bProvider typeOphthalmology Physician
28Total paid$19K
24GClaims5,700
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#439 of 759
Median peer was paid$35K
This provider vs. median0.5×
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 | 1,284 | $3K | |
| 2019 | 12 | $189.05 | |
| 2020 | 55 | $266.90 | |
| 2021 | 17 | $446.21 | |
| 2022 | 427 | $290.65 | |
| 2023 | 2,082 | $8K | |
| 2024incomplete | 1,823 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 33% | 422 | 409 | $6K |
| 92250 | 32% | 359 | 358 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 401 | 394 | $6K |
| 92136 | 2.7% | 13 | 12 | $503.45 | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.1% | 15 | 14 | $386.68 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,126 | 1,045 | $0.01 |
| 1036F | <1% | 1,550 | 1,456 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,734 | 1,621 | $0.01 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 12 | 12 | $0.00 |
| 2027F | 0% | 16 | 14 | $0.00 | |
| 5010F | 0% | 24 | 24 | $0.00 | |
| 0517F | 0% | 28 | 27 | $0.00 |
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 officialLEE, SCOTT (PHYSICIAN/OPHTHALMOLOGIST)
| Provider | Location | Paid |
|---|---|---|
| Scott Lee DDS Dental Corp | Fresno, CA | $7.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.