Physician
Southeastern Retina Associates, P.C.
Southeastern Retina Associates, P.C. was paid $327K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 67% of everything it billed.
33Billing provider infoSOUTHEASTERN RETINA ASSOCIATES, P.C.
HIXSON, TN 37343
HIXSON, TN 37343
33aNPI1104097310assigned 03/14/2008
33bProvider typeOphthalmology Physician
28Total paid$327K
24GClaims15,975
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Tennessee
Rank by total paid#19 of 114
Median peer was paid$15K
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 | |
|---|---|---|---|
| 2018 | 1,698 | $33K | |
| 2019 | 1,804 | $34K | |
| 2020 | 1,461 | $34K | |
| 2021 | 2,675 | $51K | |
| 2022 | 3,132 | $56K | |
| 2023 | 2,888 | $70K | |
| 2024incomplete | 2,317 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 67% | 4,522 | 3,128 | $218K |
| 92134 | 27% | 8,961 | 6,516 | $87K | |
| J9035 | Injection, bevacizumab, 10 mg | 5.9% | 2,343 | 1,203 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 65 | 50 | $1K |
| 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% | 69 | 41 | $741.59 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 13 | $493.11 |
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 officialLAVERGHETTA, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Southeastern Retina Associates, P.C. | Kingsport, TN | $1.98M |
| Southeastern Retina Associates, P.C. | Knoxville, TN | $1.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.