A. DE LA PENA M D A MEDICAL GROUP INC
NPI: 1982618849
· VAN NUYS, CA 91405
· Optometrist
· NPI assigned 07/28/2006
$199K
Total Medicaid Paid
30,350
Beneficiary Records
Provider Details
| Authorized Official | DE LA PENA, ALBERT (PRESIDENT/ MEDICAL DIRECTOR) |
| NPI Enumeration Date | 07/28/2006 |
Related Entities
Other providers sharing the same authorized official: DE LA PENA, ALBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,497 |
$38.57 |
| 2019 |
4,658 |
$2K |
| 2020 |
3,300 |
$424.86 |
| 2021 |
1,308 |
$0.00 |
| 2023 |
7,097 |
$49K |
| 2024 |
8,514 |
$148K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,175 |
5,175 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,829 |
3,828 |
$44K |
| V2020 |
Frames, purchases |
6,099 |
6,097 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,786 |
4,784 |
$29K |
| 92015 |
Determination of refractive state |
9,047 |
9,046 |
$19K |
| 92341 |
|
1,306 |
1,306 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
132 |
114 |
$447.26 |