Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Austin Retina Associates PLLC

Austin Retina Associates PLLC was paid $592K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 15% of everything it billed.

33Billing provider infoAUSTIN RETINA ASSOCIATES PLLC
AUSTIN, TX 78705
33aNPI1114999828assigned 02/06/2006
28Total paid$592K
24GClaims19,961
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in Texas

Rank by total paid#2 of 15
Median peer was paid$13K
This provider vs. median45×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,496$5K
2019677$5K
20201,820$44K
20215,576$171K
20224,485$139K
20233,145$115K
2024incomplete2,762$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 1,844 726 $86K
67028 Intravitreal injection of a pharmacologic agent 13% 2,103 1,941 $80K
99231 Subsequent hospital care, per day, straightforward or low complexity 12% 2,208 1,508 $71K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 2,390 1,976 $68K
99221 11% 1,095 1,057 $67K
92250 11% 2,415 2,182 $65K
J9035 Injection, bevacizumab, 10 mg 10% 1,737 1,136 $59K
92134 8.2% 3,504 3,300 $49K
92235 5.0% 971 928 $30K
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 1.1% 268 260 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 131 128 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 203 190 $4K
7 more codes
92201 <1% 138 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 630 $0.00
5010F 0% 24 $0.00
1036F 0% 239 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 13 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 25 $0.00
J7999 Compounded drug, not otherwise classified 0% 23 $0.00

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 officialCOLLINS, STEPHANIE (C.E.O.)