Pacific Eye Institute, a Medical Group, INC.

Pacific Eye Institute, a Medical Group, INC. was paid $21.05M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 26% of everything it billed.

33Billing provider infoPACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.
UPLAND, CA 91786

33aNPI1962422709assigned 07/21/2006

33bProvider typeOphthalmology Physician

28Total paid$21.05M

24GClaims231,910

24DCodes billed46

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#3 of 759

Median peer was paid$35K

This provider vs. median597×

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	22,241	$1.74M
2019	31,306	$2.22M
2020	23,795	$2.27M
2021	30,413	$2.66M
2022	34,577	$2.98M
2023	46,860	$4.69M
2024incomplete	42,718	$4.49M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	26%	20,259	19,164	$5.46M
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	24%	7,211	6,071	$4.99M
J0178	Injection, aflibercept, 1 mg	16%	3,131	2,313	$3.38M
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.0%	45,602	44,534	$1.48M
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.4%	39,266	37,272	$1.13M
J9035	Injection, bevacizumab, 10 mg	4.7%	17,753	13,100	$983K
92134		4.2%	39,511	37,718	$881K
66821		2.2%	2,872	2,436	$461K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.5%	7,495	7,479	$324K
66982		1.5%	415	376	$324K
J2777	Injection, faricimab-svoa, 0.1 mg	1.2%	212	186	$258K
92083		<1%	8,933	8,753	$195K

34 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	2,919	$192K
92136		<1%	4,495	$164K
92133		<1%	7,125	$157K
67228		<1%	537	$125K
68761		<1%	1,544	$107K
99214	Doctor's office visit, returning patient (more involved)	<1%	2,856	$94K
65426		<1%	83	$64K
V2632	Posterior chamber intraocular lens	<1%	945	$63K
92250		<1%	1,871	$56K
92025		<1%	2,126	$42K
92235		<1%	551	$35K
92020		<1%	1,524	$21K
92226		<1%	358	$20K
99213	Doctor's office visit, returning patient (routine)	<1%	877	$14K
92225		<1%	200	$13K
99203	Doctor's office visit, new patient (routine)	<1%	70	$4K
92275		<1%	134	$4K
92002		<1%	111	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	232	$4K
76514		<1%	437	$3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	<1%	25	$3K
92201		<1%	240	$2K
99205	Prolong outpt/office vis	<1%	25	$2K
65855		<1%	15	$1K
76512		<1%	14	$761.10
83861		<1%	48	$705.54
92081		<1%	20	$533.31
J7050	Infusion, normal saline solution, 250 cc	<1%	651	$410.05
92202		<1%	16	$111.81
0360		0%	8,418	$0.00
J7030	Infusion, normal saline solution , 1000 cc	0%	352	$0.00
2022F		0%	20	$0.00
99024		0%	398	$0.00
3072F		0%	13	$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 officialCERVANTES, DANTE (OPERATIONS SUPPORT)