SOUTHEASTERN RETINA ASSOCIATES, P.C.
NPI: 1104097310
· HIXSON, TN 37343
· Ophthalmology Physician
· NPI assigned 03/14/2008
$327K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LAVERGHETTA, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
2,317 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,522 |
3,128 |
$218K |
| 92134 |
|
8,961 |
6,516 |
$87K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,343 |
1,203 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
50 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
41 |
$741.59 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
13 |
$493.11 |