Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRetina Institute Of California Medical Group, A Ca…
    Ask Trek AI about this page

    Retina Institute Of California Medical Group, A California Medical Par — Billing Profile & Reimbursement Data

    NPI 1760541569 · Pasadena, CA · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Retina Institute Of California Medical Group, A California Medical Par — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Retina Institute Of California Medical Group, A California Medical Par is a ophthalmology physician provider located in Pasadena, California. This profile covers 0 Medicare and 77 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRetina Institute Of California Medical Group, A California Medical Par
    Address100 E California Blvd
    CityPasadena
    StateCA
    ZIP91105
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$64.4M
    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.

    77 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.94,750$180$17.4M
    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.178,020$30$5.5M
    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…9,090$530$4.8M
    J2778Injection, ranibizumab, 0.1 mg16,140$280$4.5M
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…182,090$20$4.4M
    J9035Injection, bevacizumab, 10 mg62,220$60$3.5M
    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.44,410$80$3.4M
    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…57,010$60$3.2M
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…100,910$30$2.5M
    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,…57,250$40$2.2M

    Showing 1–10 of 77

    • More pages

    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

    77 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg43120380$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.1360840$160$495.3K
    J2778Injection, ranibizumab, 0.1 mg130410$410$410K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg210220$450$367.4K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens80110240$10$348.8K
    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…1380210$510$333.1K
    J2777Injection, faricimab‑svoa, 0.1 mg2330120$1,020$318.4K
    J9035Injection, bevacizumab, 10 mg1230310$110$232K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.230160$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…36913,300640$40$169.6K

    Showing 1–10 of 77

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Retina Institute Of California Medical Group, A California Medical Par, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ivan Castillo-salazarTXOphthalmology Physician$4.7M$0
    Andrew StrandINOphthalmology Physician$4.3M$72.1K
    Michael SamuelCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Diane FianderMIRetina Specialist (Ophthalmology) Physician$2.2M$0
    Michael DavisCARetina Specialist (Ophthalmology) Physician$2.1M$5.2K
    Tom ChangCARetina Specialist (Ophthalmology) Physician$2.1M$1.2K
    Joshua Morrison-reyesCARetina Specialist (Ophthalmology) Physician$2M$18.2K
    Tailun ZhaoCARetina Specialist (Ophthalmology) Physician$1.8M$139.9K
    Sarjan PatelCAOphthalmology Physician$1.4M$8.7K
    Anuj ChawlaCARetina Specialist (Ophthalmology) Physician$908.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Retina Institute Of California Medical Group, A California Medical Par, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pasadena Hospital Association, LtdCAGeneral Acute Care Hospital$0$24.1M
    Rizwan BhattiCAOphthalmology Physician$2.9M$4.7K
    Jeffrey StevensCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Evann EisenbergCACardiovascular Disease Physician$1.7M$0
    Congress Medical Surgery Center LLCCAAmbulatory Surgical Clinic/Center$1.3M$0
    Pasadena Endoscopy Center IncCAEndoscopy Clinic/Center$1.2M$2.6K
    Jennifer SpiegelCAOphthalmology Physician$1.2M$0
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mayer RashtianCAClinical Cardiac Electrophysiology Physician$1.1M$0
    Huntington Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1M$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
    Retina Institute Of California Medical Group, A California Medical Par — 23 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California