Refocus Eye Health of Ri, LLC
Refocus Eye Health of Ri, LLC was paid $232K by Medicaid between Aug 2023 and Nov 2024, across 15 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 38% of everything it billed.
33Billing provider infoREFOCUS EYE HEALTH OF RI, LLC
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1043938772assigned 08/18/2022
33bProvider typeOptometrist
28Total paid$232K
24GClaims3,422
24DCodes billed15
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#32 of 209
Median peer was paid$24K
This provider vs. median9.7×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 909 | $42K | |
| 2024incomplete | 2,513 | $190K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 38% | 147 | 98 | $88K |
| 67028 | Intravitreal injection of a pharmacologic agent | 18% | 372 | 285 | $41K |
| 92134 | 14% | 969 | 840 | $32K | |
| 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 | 11% | 568 | 511 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 311 | 302 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.3% | 453 | 416 | $15K |
| 92133 | 1.6% | 222 | 211 | $4K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.4% | 22 | 12 | $3K |
| 92015 | Determination of refractive state | 1.4% | 124 | 124 | $3K |
| 92083 | <1% | 86 | 85 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $1K |
| 92136 | <1% | 49 | 42 | $820.51 |
3 more codes
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 officialGUPTA, GAURAV (OWNER)