Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A. De LA Pena M D a Medical Group INC

A. De LA Pena M D a Medical Group INC was paid $199K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.

33Billing provider infoA. DE LA PENA M D A MEDICAL GROUP INC
VAN NUYS, CA 91405
33aNPI1982618849assigned 07/28/2006
33bProvider typeOptometrist
28Total paid$199K
24GClaims30,374
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#311 of 1,899
Median peer was paid$23K
This provider vs. median8.8×

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

$0$10K$20K2018201920202021202220232024
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
20185,497$38.57
20194,658$2K
20203,300$424.86
20211,308$0.00
20237,097$49K
2024incomplete8,514$148K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 5,175 5,175 $49K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 3,829 3,828 $44K
V2020 Frames, purchases 21% 6,099 6,097 $41K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 4,786 4,784 $29K
92015 Determination of refractive state 9.6% 9,047 9,046 $19K
92341 8.6% 1,306 1,306 $17K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 132 114 $447.26

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 officialDE LA PENA, ALBERT (PRESIDENT/ MEDICAL DIRECTOR)
Same official

Other billing entities under DE LA PENA, ALBERT

Full network →
ProviderLocationPaid
A De LA Pena M D a Medical Group INCSanta Ana, CA$313K
A De LA Pena M D a Medical Group INCMontebello, CA$301K

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