SAN GABRIEL RETINA PC
NPI: 1891264818
· SAN GABRIEL, CA 91776
· Retina Specialist (Ophthalmology) Physician
· NPI assigned 11/19/2018
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | JIANG, YI (PRESIDENT) |
| NPI Enumeration Date | 11/19/2018 |
Related Entities
Other providers sharing the same authorized official: JIANG, YI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
104 |
$2K |
| 2021 |
345 |
$4K |
| 2022 |
823 |
$59K |
| 2023 |
1,156 |
$41K |
| 2024 |
1,203 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
527 |
523 |
$65K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
551 |
547 |
$28K |
| 92134 |
|
2,237 |
2,196 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
233 |
233 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
40 |
39 |
$794.97 |