RETINA VITREOUS CONSULTANTS INC.
NPI: 1063444123
· MONROEVILLE, PA 15146
· Ophthalmology Physician
· NPI assigned 07/07/2006
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | SHELTON, DEBRA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
69 |
$24K |
| 2021 |
659 |
$110K |
| 2022 |
577 |
$8K |
| 2023 |
455 |
$8K |
| 2024 |
160 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
519 |
493 |
$113K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
321 |
284 |
$17K |
| J9035 |
Injection, bevacizumab, 10 mg |
432 |
398 |
$12K |
| 92134 |
|
519 |
489 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
52 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
75 |
70 |
$0.00 |