Retina Consultants of Western New York, PC

Retina Consultants of Western New York, PC was paid $875K by Medicaid between Jan 2018 and Dec 2023, across 10 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 39% of everything it billed.

33Billing provider infoRETINA CONSULTANTS OF WESTERN NEW YORK, PC
WILLIAMSVILLE, NY 14221

33aNPI1114112125assigned 09/12/2007

33bProvider typeOphthalmology Physician

28Total paid$875K

24GClaims13,262

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#123 of 1,085

Median peer was paid$34K

This provider vs. median26×

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	679	$38K
2019	1,050	$59K
2020	1,342	$85K
2021	2,494	$173K
2022	3,772	$256K
2023	3,925	$264K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	39%	2,359	2,236	$338K
92134		20%	5,629	5,557	$173K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	2,105	2,092	$171K
J9035	Injection, bevacizumab, 10 mg	11%	1,577	1,291	$95K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	7.7%	1,154	1,112	$67K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.9%	159	159	$17K
92250		<1%	163	162	$6K
92235		<1%	58	58	$6K
76512		<1%	32	26	$2K
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%	26	26	$1K

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 officialMACDONALD, TINA (PRACTICE MANAGER)