Physician
Birndorf, Lori
Birndorf, Lori was paid $541K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 69% of everything it billed.
33Billing provider infoBIRNDORF, LORI
VALLEY VILLAGE, CA 91607
VALLEY VILLAGE, CA 91607
33aNPI1881636496assigned 06/11/2006
33bProvider typeOphthalmology Physician
28Total paid$541K
24GClaims64,192
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#128 of 759
Median peer was paid$35K
This provider vs. median15×
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 | 11,020 | $47K | |
| 2019 | 15,037 | $94K | |
| 2020 | 9,477 | $67K | |
| 2021 | 9,197 | $119K | |
| 2022 | 9,062 | $102K | |
| 2023 | 6,072 | $84K | |
| 2024incomplete | 4,327 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 69% | 13,049 | 12,989 | $372K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 3,392 | 3,379 | $117K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.4% | 1,224 | 1,224 | $45K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.0% | 450 | 449 | $6K |
| 67820 | <1% | 115 | 115 | $710.42 | |
| 99304 | <1% | 15 | 15 | $491.40 | |
| 1123F | <1% | 9,597 | 9,553 | $0.01 | |
| 1036F | <1% | 8,591 | 8,565 | $0.01 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 8,314 | 8,296 | $0.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 9,712 | 9,668 | $0.01 |
| 3072F | 0% | 36 | 36 | $0.00 | |
| 3285F | 0% | 101 | 101 | $0.00 |
9 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 36 | $0.00 |
| 2027F | 0% | 1,363 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 4,055 | $0.00 |
| 2022F | 0% | 3,075 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 375 | $0.00 |
| M1221 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy | 0% | 26 | $0.00 |
| G9714 | Patient is using hospice services any time during the measurement period | 0% | 31 | $0.00 |
| 0517F | 0% | 101 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 534 | $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.