Retina Consultants PC

Retina Consultants PC was paid $25.78M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 71% of everything it billed.

33Billing provider infoRETINA CONSULTANTS PC
MANCHESTER, CT 06042

33aNPI1093748071assigned 07/10/2006

33bProvider typeOphthalmology Physician

28Total paid$25.78M

24GClaims244,185

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Connecticut

Rank by total paid#1 of 97

Median peer was paid$13K

This provider vs. median1,915×

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
2018	23,694	$2.55M
2019	24,822	$3.15M
2020	21,269	$3.11M
2021	34,581	$3.79M
2022	41,499	$4.16M
2023	49,625	$4.71M
2024incomplete	48,695	$4.29M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	71%	36,113	20,428	$18.22M
J2777	Injection, faricimab-svoa, 0.1 mg	8.1%	4,442	2,093	$2.08M
67028	Intravitreal injection of a pharmacologic agent	6.0%	48,227	28,891	$1.55M
J2778	Injection, ranibizumab, 0.1 mg	5.2%	2,750	2,183	$1.33M
92250		2.1%	19,570	15,844	$543K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.6%	31,744	23,638	$415K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1.6%	20,379	16,180	$402K
92134		1.4%	49,132	34,947	$349K
67228		<1%	1,309	873	$157K
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%	3,034	2,524	$154K
J3590	Unclassified biologics	<1%	311	144	$116K
92235		<1%	2,922	2,444	$101K

17 more codes

92226		<1%	9,427	$88K
J0177	Injection, aflibercept hd, 1 mg	<1%	153	$73K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,368	$42K
J9035	Injection, bevacizumab, 10 mg	<1%	914	$28K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	<1%	117	$26K
92202		<1%	10,186	$25K
67210		<1%	128	$24K
J0179	Injection, brolucizumab-dbll, 1 mg	<1%	39	$13K
99215	Doctor's office visit, returning patient (complex)	<1%	254	$11K
76512		<1%	136	$6K
92225		<1%	423	$6K
92020		<1%	388	$3K
99205	Prolong outpt/office vis	<1%	52	$3K
92201		<1%	517	$1K
99213	Doctor's office visit, returning patient (routine)	<1%	104	$815.67
76510		<1%	33	$667.36
99072		0%	13	$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 officialDEARY, LISA (OFFICE MANAGER)