Physician
Retina Vitreous Consultants INC.
Retina Vitreous Consultants INC. was paid $153K by Medicaid between Oct 2020 and Oct 2024, across 6 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 74% of everything it billed.
33Billing provider infoRETINA VITREOUS CONSULTANTS INC.
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1063444123assigned 07/07/2006
33bProvider typeOphthalmology Physician
28Total paid$153K
24GClaims1,920
24DCodes billed6
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#42 of 288
Median peer was paid$7K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2020 | 69 | $24K | |
| 2021 | 659 | $110K | |
| 2022 | 577 | $8K | |
| 2023 | 455 | $8K | |
| 2024incomplete | 160 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 74% | 519 | 493 | $113K |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 321 | 284 | $17K |
| J9035 | Injection, bevacizumab, 10 mg | 8.2% | 432 | 398 | $12K |
| 92134 | 6.4% | 519 | 489 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 54 | 52 | $1K |
| J7999 | Compounded drug, not otherwise classified | 0% | 75 | 70 | $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 officialSHELTON, DEBRA (ADMINISTRATOR)