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DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.

Ophthalmology·MONTEBELLO, CA·NPI: 1114931052Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.8M

$18,754,376

Total Claims

596K

Beneficiaries

571K

1.0 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+69%
2019
$2.1M
-25%
2020
$1.6M
+68%
2021
$2.6M
+48%
2022
$3.9M
+7%
2023
$4.2M
-24%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (67028 (Intravitreal injection of a pharmacologic agent)) accounts for 21% of total spending.

67028Top 25%

Intravitreal injection of a pharmacologic agent

$3.9M

23K claims · 20.8%

Your Cost: $172.91/claim|Median: $58.82
2.9× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$3.1M

6,331 claims · 16.8%

Your Cost: $496.48/claim|Median: $268.70
1.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.9M

77K claims · 10.4%

Your Cost: $25.25/claim|Median: $38.23
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.3M

45K claims · 7.1%

Your Cost: $29.34/claim|Median: $59.72
0.5× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$1.3M

17K claims · 6.7%

Your Cost: $74.70/claim|Median: $43.71
1.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.1M

42K claims · 5.8%

Your Cost: $25.73/claim|Median: $47.08
0.5× median
92134Normal range

$832K

65K claims · 4.4%

Your Cost: $12.73/claim|Median: $15.46
0.8× median
V2020Normal range

Frames, purchases

$750K

54K claims · 4.0%

Your Cost: $13.86/claim|Median: $19.33
0.7× median
99204Normal range

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

$613K

13K claims · 3.3%

Your Cost: $47.08/claim|Median: $84.03
0.6× median
92133Normal range

$563K

34K claims · 3.0%

Your Cost: $16.65/claim|Median: $19.09
0.9× median
92340Normal range

Fitting of spectacles, except for aphakia

$508K

39K claims · 2.7%

Your Cost: $12.87/claim|Median: $19.46
0.7× median
99214Normal range

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

$407K

14K claims · 2.2%

Your Cost: $30.15/claim|Median: $53.41
0.6× median
92083Normal range

Visual field exam, extended testing, bilateral

$402K

23K claims · 2.1%

Your Cost: $17.28/claim|Median: $29.82
0.6× median
92015Normal range

Determination of refractive state

$362K

72K claims · 1.9%

Your Cost: $5.02/claim|Median: $10.36
0.5× median
92341Normal range

$241K

13K claims · 1.3%

Your Cost: $18.58/claim|Median: $22.77
0.8× median
92226Top 25%

$184K

6,414 claims · 1.0%

Your Cost: $28.67/claim|Median: $12.45
2.3× median
92250Normal range

Fundus photography with interpretation and report

$158K

7,258 claims · 0.8%

Your Cost: $21.76/claim|Median: $27.95
0.8× median
68761Top 25%

$125K

1,413 claims · 0.7%

Your Cost: $88.61/claim|Median: $60.32
1.5× median
92202Normal range

$111K

13K claims · 0.6%

Your Cost: $8.82/claim|Median: $7.06
1.2× median
67210Normal range

$94K

374 claims · 0.5%

Your Cost: $251.68/claim|Median: $249.34
1.0× median
67228Normal range

$84K

441 claims · 0.5%

Your Cost: $191.59/claim|Median: $256.67
0.7× median
66761Normal range

$82K

558 claims · 0.4%

Your Cost: $146.90/claim|Median: $159.16
0.9× median
92201Normal range

$78K

5,943 claims · 0.4%

Your Cost: $13.14/claim|Median: $12.88
1.0× median
J7999Normal range

$74K

3,264 claims · 0.4%

Your Cost: $22.54/claim|Median: $6.94
3.2× median
76519Normal range

$56K

2,020 claims · 0.3%

Your Cost: $27.85/claim|Median: $22.90
1.2× median
92225Top 25%

$52K

1,548 claims · 0.3%

Your Cost: $33.81/claim|Median: $17.59
1.9× median
92136Top 25%

$51K

1,355 claims · 0.3%

Your Cost: $37.98/claim|Median: $18.31
2.1× median
92020Normal range

$46K

4,262 claims · 0.2%

Your Cost: $10.73/claim|Median: $12.46
0.9× median
99203Normal range

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

$44K

2,281 claims · 0.2%

Your Cost: $19.48/claim|Median: $57.85
0.3× median
76514Normal range

$30K

5,081 claims · 0.2%

Your Cost: $5.83/claim|Median: $6.67
0.9× median
99213Normal range

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

$25K

1,100 claims · 0.1%

Your Cost: $22.52/claim|Median: $37.81
0.6× median
67145Normal range

$23K

80 claims · 0.1%

Your Cost: $288.89/claim|Median: $230.81
1.3× median
92025Normal range

$23K

1,381 claims · 0.1%

Your Cost: $16.35/claim|Median: $17.08
1.0× median
66982Top 25%

$22K

32 claims · 0.1%

Your Cost: $693.01/claim|Median: $375.52
1.8× median
V2203Normal range

$20K

509 claims · 0.1%

Your Cost: $39.35/claim|Median: $29.84
1.3× median
65855Normal range

$15K

120 claims · 0.1%

Your Cost: $123.53/claim|Median: $104.20
1.2× median
92235Normal range

$14K

231 claims · 0.1%

Your Cost: $59.10/claim|Median: $42.71
1.4× median
76512Normal range

$5K

202 claims · 0.0%

Your Cost: $26.13/claim|Median: $43.41
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$1K

24 claims · 0.0%

Your Cost: $58.18/claim|Median: $74.09
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$1K

147 claims · 0.0%

Your Cost: $7.28/claim|Median: $82.43
0.1× median
V2784Top 25%

Lens, polycarbonate or equal

$384

14 claims · 0.0%

Your Cost: $27.43/claim|Median: $9.50
2.9× median
V2744Top 25%

$293

12 claims · 0.0%

Your Cost: $24.40/claim|Median: $10.12
2.4× median
92285Normal range

$271

31 claims · 0.0%

Your Cost: $8.75/claim|Median: $16.47
0.5× median
99422Normal range

Online digital E/M, 11-20 min

$155

25 claims · 0.0%

Your Cost: $6.21/claim|Median: $17.90
0.3× median

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