Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Carmel › NPI 1053358614
Physician

Fort Wayne Retina, P.C.

Fort Wayne Retina, P.C. was paid $400K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 27% of everything it billed.

33Billing provider infoFORT WAYNE RETINA, P.C.
CARMEL, IN 46032
33aNPI1053358614assigned 06/01/2006
33bProvider typeOphthalmology Physician
28Total paid$400K
24GClaims20,778
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Indiana

Rank by total paid#20 of 107
Median peer was paid$43K
This provider vs. median9.3×

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$20K$40K$60K2018201920202021202220232024
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
2018820$3K
20193,137$12K
20201,633$9K
20212,755$40K
20223,619$104K
20234,655$145K
2024incomplete4,159$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 27% 129 90 $109K
67028 Intravitreal injection of a pharmacologic agent 24% 1,867 1,408 $96K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,581 1,347 $67K
92134 15% 3,390 2,667 $61K
J9035 Injection, bevacizumab, 10 mg 11% 1,066 765 $43K
92235 2.5% 119 107 $10K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 73 49 $6K
67228 <1% 14 12 $4K
92250 <1% 120 107 $3K
J3590 Unclassified biologics <1% 59 27 $525.00
4040F 0% 1,383 1,011 $0.00
G8482 Influenza immunization administered or previously received 0% 1,173 890 $0.00
7 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,516 $0.00
2022F 0% 1,363 $0.00
1036F 0% 2,460 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 1,221 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,159 $0.00
4177F 0% 64 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 21 $0.00

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 officialFINNEN, NEIL (PRESIDENT)