VITREO-RETINAL MEDICAL GROUP, INC.
NPI: 1114010949
· MODESTO, CA 95356
· 207W00000X
$4.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,739 |
$507K |
| 2019 |
6,931 |
$576K |
| 2020 |
5,524 |
$478K |
| 2021 |
3,703 |
$397K |
| 2022 |
5,298 |
$818K |
| 2023 |
6,161 |
$977K |
| 2024 |
3,039 |
$421K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
1,353 |
1,326 |
$1.56M |
| 67028 |
|
10,279 |
8,214 |
$1.40M |
| 92134 |
|
13,730 |
13,287 |
$361K |
| 99214 |
|
2,584 |
2,504 |
$199K |
| J2778 |
Ranibizumab injection |
319 |
308 |
$193K |
| J9035 |
Bevacizumab injection |
1,793 |
1,657 |
$143K |
| 92235 |
|
1,915 |
1,893 |
$134K |
| 92250 |
|
2,443 |
2,424 |
$96K |
| 99213 |
|
877 |
870 |
$54K |
| 92014 |
|
987 |
968 |
$15K |
| Q5128 |
Inj, cimerli, 0.1 mg |
14 |
12 |
$11K |
| 67228 |
|
27 |
25 |
$7K |
| 99204 |
|
25 |
25 |
$4K |
| 99203 |
|
12 |
12 |
$999.16 |
| 92012 |
|
25 |
25 |
$674.19 |
| J7999 |
Compounded drug, noc |
12 |
12 |
$0.00 |