Specialty Eye Care Medical Center, INC.
Specialty Eye Care Medical Center, INC. was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 22% of everything it billed.
GLENDALE, CA 91203
Next to other Ophthalmology Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,020 | $158K | |
| 2019 | 29,840 | $219K | |
| 2020 | 18,056 | $128K | |
| 2021 | 18,458 | $167K | |
| 2022 | 22,806 | $378K | |
| 2023 | 37,282 | $671K | |
| 2024incomplete | 30,515 | $504K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 22% | 58,457 | 54,757 | $480K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 14% | 1,923 | 1,826 | $314K |
| 92134 | 11% | 20,145 | 18,775 | $241K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 6,410 | 5,896 | $239K |
| J0178 | Injection, aflibercept, 1 mg | 8.7% | 685 | 661 | $193K |
| 76511 | 7.2% | 5,948 | 5,865 | $160K | |
| 68761 | 2.9% | 696 | 689 | $64K | |
| 92202 | 2.5% | 19,279 | 18,584 | $56K | |
| 92083 | 2.5% | 5,831 | 5,789 | $55K | |
| 67515 | 2.4% | 3,031 | 2,879 | $54K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.3% | 3,856 | 3,499 | $52K |
| 92250 | 2.1% | 4,049 | 4,012 | $48K |
24 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.1% | 6,178 | $46K |
| 92226 | 2.0% | 6,199 | $44K | |
| 92133 | 1.7% | 4,650 | $38K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 2,268 | $30K |
| 92235 | <1% | 687 | $20K | |
| 92136 | <1% | 1,060 | $20K | |
| 92020 | <1% | 2,786 | $15K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 333 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 976 | $9K |
| 92025 | <1% | 513 | $9K | |
| 92132 | <1% | 1,383 | $7K | |
| 67228 | <1% | 137 | $7K | |
| 00142 | <1% | 213 | $5K | |
| 92015 | Determination of refractive state | <1% | 4,519 | $2K |
| 92225 | <1% | 2,546 | $1K | |
| 92002 | <1% | 11,161 | $1K | |
| 66821 | <1% | 27 | $610.66 | |
| V2020 | Frames, purchases | <1% | 28 | $172.62 |
| 67700 | <1% | 59 | $123.47 | |
| 76512 | <1% | 13 | $118.07 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $100.09 |
| 92341 | <1% | 16 | $85.86 | |
| 92201 | 0% | 809 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 78 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Specialty Eye Care Medical Center , INC | Sherman Oaks, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.