Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Reyes, Monica

Reyes, Monica was paid $88K by Medicaid between Dec 2019 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.

33Billing provider infoREYES, MONICA
RANCHO SANTA MARGARITA, CA 92688
33aNPI1881029148assigned 09/05/2013
33bProvider typeOptometrist
28Total paid$88K
24GClaims6,510
24DCodes billed5
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#559 of 1,899
Median peer was paid$23K
This provider vs. median3.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201912$86.52
2020958$19K
20211,266$25K
20221,282$25K
20231,580$19K
2024incomplete1,412$104.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 781 781 $23K
V2020 Frames, purchases 25% 1,693 1,691 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 22% 1,430 1,430 $20K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 783 783 $15K
92015 Determination of refractive state 10% 1,823 1,821 $9K

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.