Miramar Eye Specialists Medical Group, INC
Miramar Eye Specialists Medical Group, INC was paid $2.40M by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 26% of everything it billed.
33Billing provider infoMIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC
VENTURA, CA 93003
VENTURA, CA 93003
33aNPI1992746382assigned 06/09/2006
33bProvider typeOptometrist
28Total paid$2.40M
24GClaims35,006
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#23 of 1,899
Median peer was paid$23K
This provider vs. median106×
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 | 6,446 | $225K | |
| 2019 | 6,670 | $467K | |
| 2020 | 5,700 | $448K | |
| 2021 | 7,293 | $628K | |
| 2022 | 3,989 | $314K | |
| 2023 | 3,338 | $235K | |
| 2024incomplete | 1,570 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 26% | 2,969 | 2,637 | $630K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 20% | 9,379 | 8,723 | $475K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 5,736 | 5,648 | $424K |
| 92134 | 7.7% | 5,601 | 5,407 | $185K | |
| J7999 | Compounded drug, not otherwise classified | 5.2% | 1,712 | 1,466 | $125K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.3% | 1,359 | 1,302 | $104K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,462 | 1,426 | $98K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 1,255 | 1,229 | $91K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.9% | 117 | 113 | $69K |
| 92250 | 1.8% | 1,153 | 1,135 | $44K | |
| 92133 | 1.8% | 1,249 | 1,228 | $43K | |
| 92083 | 1.6% | 871 | 866 | $39K |
10 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 284 | $23K |
| 92136 | <1% | 597 | $16K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 114 | $10K |
| 92235 | <1% | 45 | $5K | |
| 83861 | <1% | 207 | $5K | |
| 83516 | <1% | 382 | $4K | |
| 92020 | <1% | 173 | $4K | |
| 92015 | Determination of refractive state | <1% | 284 | $3K |
| 92002 | <1% | 16 | $579.54 | |
| 76514 | <1% | 41 | $258.72 |
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 officialCORWIN, JOEL (PRESIDENT/MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lynn Eye Surgery Center, LLC | Thousand Oaks, CA | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.