RETINA & VITREOUS L L C
NPI: 1093999609
· SOUTH BEND, IN 46635
· 207WX0107X
$936K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
752 |
$10K |
| 2019 |
1,309 |
$54K |
| 2020 |
1,751 |
$91K |
| 2021 |
3,423 |
$219K |
| 2022 |
3,532 |
$217K |
| 2023 |
4,420 |
$232K |
| 2024 |
2,125 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
|
5,726 |
4,082 |
$296K |
| J9035 |
Bevacizumab injection |
4,914 |
3,492 |
$215K |
| 67228 |
|
652 |
498 |
$174K |
| 99214 |
|
1,464 |
1,238 |
$93K |
| 99204 |
|
480 |
413 |
$47K |
| 92250 |
|
1,208 |
1,035 |
$28K |
| 92134 |
|
1,390 |
1,162 |
$26K |
| 99215 |
Prolong outpt/office vis |
255 |
216 |
$25K |
| 99213 |
|
557 |
460 |
$18K |
| 99205 |
Prolong outpt/office vis |
89 |
72 |
$9K |
| J3590 |
Unclassified biologics |
401 |
309 |
$3K |
| 92201 |
|
100 |
80 |
$1K |
| 92225 |
|
53 |
40 |
$678.73 |
| 92226 |
|
23 |
19 |
$396.47 |