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CALIFORNIA RETINA ASSOCIATES, LP

Ophthalmology·CHULA VISTA, CA·NPI: 1114033404Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.6M

$42,592,656

Total Claims

707K

Beneficiaries

679K

1.0 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$6.0M
+8%
2019
$6.5M
-24%
2020
$4.9M
+24%
2021
$6.1M
+3%
2022
$6.3M
+29%
2023
$8.1M
-43%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 47 distinct procedure codes. The top code (67028 (Intravitreal injection of a pharmacologic agent)) accounts for 29% of total spending.

67028Top 10%

Intravitreal injection of a pharmacologic agent

$12.6M

51K claims · 29.5%

Your Cost: $246.94/claim|Median: $58.82
4.2× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$4.7M

8,485 claims · 11.1%

Your Cost: $557.85/claim|Median: $268.70
2.1× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3.2M

115K claims · 7.6%

Your Cost: $28.13/claim|Median: $37.81
0.7× median
92235Normal range

$3.0M

50K claims · 7.1%

Your Cost: $60.90/claim|Median: $42.71
1.4× median
92250Normal range

Fundus photography with interpretation and report

$2.9M

92K claims · 6.8%

Your Cost: $31.39/claim|Median: $27.95
1.1× median
92134Top 25%

$2.7M

110K claims · 6.3%

Your Cost: $24.31/claim|Median: $15.46
1.6× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$2.4M

32K claims · 5.6%

Your Cost: $74.37/claim|Median: $43.71
1.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2.1M

48K claims · 5.0%

Your Cost: $44.47/claim|Median: $53.41
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.5M

22K claims · 3.4%

Your Cost: $68.21/claim|Median: $57.85
1.2× median
J0178Top 25%

Injection, aflibercept, 1 mg

$1.1M

995 claims · 2.6%

Your Cost: $1,123.07/claim|Median: $730.09
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$994K

53K claims · 2.3%

Your Cost: $18.80/claim|Median: $47.08
0.4× median
67228Normal range

$904K

3,702 claims · 2.1%

Your Cost: $244.23/claim|Median: $256.67
1.0× median
92133Normal range

$688K

28K claims · 1.6%

Your Cost: $24.64/claim|Median: $19.09
1.3× median
15823Normal range

$530K

1,427 claims · 1.2%

Your Cost: $371.47/claim|Median: $307.91
1.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$491K

25K claims · 1.2%

Your Cost: $19.43/claim|Median: $38.23
0.5× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$447K

5,721 claims · 1.0%

Your Cost: $78.10/claim|Median: $84.03
0.9× median
92083Normal range

Visual field exam, extended testing, bilateral

$435K

18K claims · 1.0%

Your Cost: $24.22/claim|Median: $29.82
0.8× median
92136Top 25%

$324K

12K claims · 0.8%

Your Cost: $27.49/claim|Median: $18.31
1.5× median
68761Normal range

$314K

4,096 claims · 0.7%

Your Cost: $76.76/claim|Median: $60.32
1.3× median
66821Normal range

$239K

2,633 claims · 0.6%

Your Cost: $90.60/claim|Median: $83.06
1.1× median
67210Normal range

$194K

643 claims · 0.5%

Your Cost: $301.89/claim|Median: $249.34
1.2× median
92242Top 25%

$189K

1,410 claims · 0.4%

Your Cost: $134.20/claim|Median: $73.42
1.8× median
J7312Normal range

$133K

124 claims · 0.3%

Your Cost: $1,071.30/claim|Median: $710.09
1.5× median
J7999Normal range

$111K

10K claims · 0.3%

Your Cost: $11.10/claim|Median: $6.94
1.6× median
67904Top 25%

$60K

104 claims · 0.1%

Your Cost: $579.61/claim|Median: $438.38
1.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$52K

1,781 claims · 0.1%

Your Cost: $29.40/claim|Median: $59.72
0.5× median
92025Top 25%

$33K

1,320 claims · 0.1%

Your Cost: $24.76/claim|Median: $17.08
1.4× median
92015Normal range

Determination of refractive state

$24K

3,270 claims · 0.1%

Your Cost: $7.21/claim|Median: $10.36
0.7× median
65855Normal range

$23K

187 claims · 0.1%

Your Cost: $123.91/claim|Median: $104.20
1.2× median
65426Normal range

$20K

53 claims · 0.0%

Your Cost: $380.05/claim|Median: $578.99
0.7× median
66982Normal range

$19K

60 claims · 0.0%

Your Cost: $324.64/claim|Median: $375.52
0.9× median
67903Top 1%

$19K

29 claims · 0.0%

Your Cost: $658.66/claim|Median: $545.36
1.2× median
67840Normal range

$18K

134 claims · 0.0%

Your Cost: $131.86/claim|Median: $96.49
1.4× median
92020Normal range

$17K

1,239 claims · 0.0%

Your Cost: $13.54/claim|Median: $12.46
1.1× median
92285Normal range

$14K

1,610 claims · 0.0%

Your Cost: $8.89/claim|Median: $16.47
0.5× median
76514Normal range

$14K

2,161 claims · 0.0%

Your Cost: $6.50/claim|Median: $6.67
1.0× median
66761Normal range

$13K

66 claims · 0.0%

Your Cost: $189.70/claim|Median: $159.16
1.2× median
J2777Normal range

$11K

15 claims · 0.0%

Your Cost: $746.51/claim|Median: $858.80
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$9K

401 claims · 0.0%

Your Cost: $22.70/claim|Median: $25.06
0.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$5K

23 claims · 0.0%

Your Cost: $213.29/claim|Median: $470.36
0.5× median
76512Normal range

$4K

82 claims · 0.0%

Your Cost: $44.63/claim|Median: $43.41
1.0× median
92002Normal range

Intermediate eye exam, new patient

$1K

47 claims · 0.0%

Your Cost: $31.88/claim|Median: $41.61
0.8× median
64612Normal range

$1K

24 claims · 0.0%

Your Cost: $61.34/claim|Median: $98.05
0.6× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$1K

353 claims · 0.0%

Your Cost: $2.89/claim|Median: $2.91
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$707

16 claims · 0.0%

Your Cost: $44.17/claim|Median: $40.11
1.1× median
67820Normal range

$423

26 claims · 0.0%

Your Cost: $16.28/claim|Median: $11.69
1.4× median
83861Normal range

$105

16 claims · 0.0%

Your Cost: $6.57/claim|Median: $10.95
0.6× median

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