Physician
Santamaria Eye Center P a
Santamaria Eye Center P a was paid $767K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoSANTAMARIA EYE CENTER P A
PERTH AMBOY, NJ 08861
PERTH AMBOY, NJ 08861
33aNPI1952382871assigned 11/08/2005
33bProvider typeOphthalmology Physician
28Total paid$767K
24GClaims37,108
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#25 of 213
Median peer was paid$20K
This provider vs. median39×
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 | 4,025 | $109K | |
| 2019 | 5,271 | $113K | |
| 2020 | 3,973 | $76K | |
| 2021 | 5,490 | $115K | |
| 2022 | 5,742 | $103K | |
| 2023 | 7,081 | $143K | |
| 2024incomplete | 5,526 | $109K |
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 | 27% | 7,857 | 7,603 | $210K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 2,407 | 2,371 | $95K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 4,263 | 3,949 | $92K |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 2,095 | 1,683 | $88K |
| 92015 | Determination of refractive state | 8.4% | 6,763 | 6,592 | $64K |
| 92134 | 6.7% | 4,509 | 4,059 | $51K | |
| 92250 | 5.4% | 2,289 | 2,198 | $42K | |
| J9035 | Injection, bevacizumab, 10 mg | 3.9% | 676 | 522 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 953 | 861 | $24K |
| 92083 | 2.6% | 1,353 | 1,303 | $20K | |
| 92133 | 1.7% | 1,304 | 1,262 | $13K | |
| 92341 | 1.2% | 606 | 596 | $9K |
18 more codes
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 30 | $7K |
| J0178 | Injection, aflibercept, 1 mg | <1% | 20 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 160 | $5K |
| 92136 | <1% | 304 | $4K | |
| 92225 | <1% | 156 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $2K |
| 92226 | <1% | 105 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $917.54 |
| 92020 | <1% | 84 | $788.56 | |
| 92202 | <1% | 141 | $391.45 | |
| 99443 | <1% | 18 | $183.86 | |
| 76514 | <1% | 13 | $65.52 | |
| 99072 | <1% | 355 | $10.50 | |
| V2020 | Frames, purchases | 0% | 238 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 168 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 24 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 24 | $0.00 |
| 1036F | 0% | 144 | $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 officialDISLA, MENCIA (PRACTICE ADMINISTRATOR)