Physician
Ophthalmology
Ophthalmology
LOS ANGELES, CA
PIH HEALTH GOOD SAMARITAN HOSPITAL
pihhealth.org/find-a-location/locations-profile/pih-health-good-samaritan-hospital
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
67042 Removal of membrane of retina with removal of internal limiting membrane of retina | $6,200 | $1,233 | $985 | 36 |
J3490 Unclassified drugs | $3,656 | $1,295 | $1,008 | 160 |
J0178 Injection, aflibercept, 1 mg | $2,414 | $873 | $685 | 2,720 |
67228 Destruction of leaking blood vessels of retina using laser | $1,916 | $373 | $298 | 19 |
67145 Photocoagulation treatment to prevent detachment of retina | $1,650 | $266 | $184 | 23 |
J2778 Injection, ranibizumab, 0.1 mg | $917 | $230 | $179 | 206 |
67028 Injection of drug into eye | $773 | $135 | $106 | 3,237 |
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | $699 | $275 | $219 | 7,426 |
92004 New patient complete exam of visual system | $350 | $168 | $116 | 452 |
99204 New patient office or other outpatient visit, 45-59 minutes | $283 | $180 | $98 | 28 |
92235 Exam of retinal blood vessels using a special camera after injection of a dye | $277 | $159 | $122 | 128 |
92014 Established patient complete exam of visual system | $276 | $141 | $101 | 1,772 |
76512 2d ultrasound scan of eye tissue and structures | $200 | $54 | $39 | 38 |
92012 Established patient problem focused exam of visual system | $200 | $102 | $80 | 2,943 |
J9035 Injection, bevacizumab, 10 mg | $185 | $70 | $54 | 205 |
92201 Extended exam of the back part of the eye with retinal drawing | $170 | $27 | $18 | 97 |
92202 Extended exam of the back part of the eye with optic nerve drawing | $170 | $17 | $12 | 181 |
92134 Imaging of retina | $151 | $45 | $35 | 5,401 |
92250 Photography of the retina | $115 | $41 | $30 | 20 |
J2777 Injection, faricimab-svoa, 0.1 mg | $85 | $37 | $29 | 13,140 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.