Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Bellaire › NPI 1003892597
Physician

Retina and Vitreous of Texas PLLC

Retina and Vitreous of Texas PLLC was paid $598K by Medicaid between Mar 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.

33Billing provider infoRETINA AND VITREOUS OF TEXAS PLLC
BELLAIRE, TX 77401
33aNPI1003892597assigned 12/16/2005
33bProvider typeOphthalmology Physician
28Total paid$598K
24GClaims20,257
24DCodes billed15
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#17 of 231
Median peer was paid$16K
This provider vs. median38×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018772$2K
2019669$4K
20201,780$55K
20214,501$143K
20225,028$141K
20234,594$148K
2024incomplete2,913$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 2,902 2,723 $169K
92134 25% 6,321 5,779 $149K
76512 16% 2,662 2,334 $94K
92201 7.8% 3,473 3,116 $46K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.6% 684 624 $45K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.5% 904 869 $39K
67028 Intravitreal injection of a pharmacologic agent 2.3% 445 418 $14K
92235 2.0% 238 207 $12K
92202 1.7% 1,416 1,323 $10K
92250 1.4% 264 252 $8K
J9035 Injection, bevacizumab, 10 mg <1% 139 102 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 39 37 $4K
3 more codes
99205 Prolong outpt/office vis <1% 12 $1K
92226 <1% 738 $901.74
92020 <1% 20 $67.75

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKHAWLY, JOSEPH (CEO)