Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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De LA Pena Eye Clinic, a Medical Group, INC

De LA Pena Eye Clinic, a Medical Group, INC was paid $66K by Medicaid between Apr 2018 and Nov 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 43% of everything it billed.

33Billing provider infoDE LA PENA EYE CLINIC, A MEDICAL GROUP, INC
VAN NUYS, CA 91405
33aNPI1952748501assigned 05/22/2013
33bProvider typeOptometrist
28Total paid$66K
24GClaims5,959
24DCodes billed11
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#633 of 1,899
Median peer was paid$23K
This provider vs. median2.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018183$32.28
2019419$698.39
2020410$1K
2021590$5K
2022363$6K
20231,118$16K
2024incomplete2,876$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 43% 1,071 1,043 $29K
67028 Intravitreal injection of a pharmacologic agent 18% 247 241 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 282 280 $8K
92133 8.4% 1,097 719 $6K
J7999 Compounded drug, not otherwise classified 7.7% 172 168 $5K
92134 7.6% 2,035 1,033 $5K
92083 2.8% 365 365 $2K
V2020 Frames, purchases <1% 151 151 $21.31
92015 Determination of refractive state <1% 273 273 $8.01
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 156 156 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 0% 110 110 $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 officialKELLY, MARK (MEMBER, BOARD OF MANAGERS)
Same official

Other billing entities under KELLY, MARK

Full network →

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