Specialty Medical Group Central California - Dept of Ophthalmology

Specialty Medical Group Central California - Dept of Ophthalmology was paid $821.11 by Medicaid between Aug 2019 and Mar 2020, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 48% of everything it billed.

33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OPHTHALMOLOGY
MADERA, CA 93636

33aNPI1952582330assigned 11/14/2007

33bProvider typeOphthalmology Physician

28Total paid$821.11

24GClaims304

24DCodes billed3

24AFirst – last monthAug 2019 – Mar 2020

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#650 of 759

Median peer was paid$35K

This provider vs. median0.0×

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
2019	221	$467.79
2020	83	$353.32

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	48%	240	230	$390.11
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	45%	52	52	$373.35
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.0%	12	12	$57.65

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 officialDIAZ, RALPH (PRESIDENT AND MEDICAL DIRECTOR)

Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.

Same official

Other billing entities under DIAZ, RALPH

Full network →

Provider	Location	Paid
Specialty Medical Group Central California INC. - Dept. of Cardiology	Madera, CA	$2K
Specialty Medical Group Central California - Dept. of Nephrology	Madera, CA	$1K
Specialty Medical Group Central California INC - Dept of Oncology	Madera, CA	$1K
Specialty Medical Group Central California - Dept of Surgery	Madera, CA	$565.71
Specialty Medical Group Central California INC - Dept of Endocrinology	Madera, CA	$511.42

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.