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    OpenPayerNPI Medicare & MedicaidCalifornia Retina Associates, LP
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    California Retina Associates, LP — Billing Profile & Reimbursement Data

    NPI 1114033404 · Chula Vista, CA · Ophthalmology Physician

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    California Retina Associates, LP is a ophthalmology physician provider located in Chula Vista, California. This profile covers 0 Medicare and 47 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCalifornia Retina Associates, LP
    Address835 3rd Ave
    CityChula Vista
    StateCA
    ZIP91911
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 21, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$42.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.50,840$250$12.6M
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…8,490$560$4.7M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…115,190$30$3.2M
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…49,720$60$3M
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…91,840$30$2.8M
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.109,600$20$2.6M
    J9035Injection, bevacizumab, 10 mg32,280$70$2.4M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…48,330$40$2.1M
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…21,530$70$1.5M
    J0178Injection, aflibercept, 1 mg1,000$1,120$1.1M

    Showing 1–10 of 47

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    47 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg38120380$970$1.1M
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.4360840$160$495.3K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…1101,420$470$443.6K
    J0585Injection, onabotulinumtoxina, 1 unit104110260$590$407.4K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…2380210$510$333.1K
    J2777Injection, faricimab‑svoa, 0.1 mg2630120$1,020$318.4K
    J9035Injection, bevacizumab, 10 mg3230310$110$232K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.730160$270$228.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…22113,300640$40$169.6K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.14120330$70$129.9K

    Showing 1–10 of 47

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with California Retina Associates, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tayson DelengockyCARetina Specialist (Ophthalmology) Physician$581.4K$0
    Walid AbdallahILOphthalmology Physician$547.9K$0
    Georgios PapastergiouCARetina Specialist (Ophthalmology) Physician$523K$0
    Emma McdonnellCAOphthalmology Physician$299.5K$0
    Colin BacornCAOphthalmology Physician$19.3K$0

    Nearby Providers

    Other providers in the same ZIP code as California Retina Associates, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharp Chula Vista Medical CenterCAGeneral Acute Care Hospital$0$137.6M
    Cardiovascular Institute Of San Diego IncCACardiovascular Disease Physician$0$129.2M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CAFederally Qualified Health Center (FQHC)$0$24.1M
    Sasha Salloum Md Inc A Professional Medical CorporationCAVascular Surgery Physician$0$24M
    Surgery Center Of California -llcCAAmbulatory Surgical Clinic/Center$1.4M$2.9M
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Alexander SalloumCAVascular Surgery Physician$2.8M$0
    Marilyn NortonCAHematology & Oncology Physician$1.6M$1.4K
    San Diego Treatment Services, LLCCAMethadone Clinic$391.4K$1.2M
    Milind ParikhCACardiovascular Disease Physician$746.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    California Retina Associates, LP — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California