Physician
Retina Associates of Missouri, P.C.
Retina Associates of Missouri, P.C. was paid $379K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 63% of everything it billed.
33Billing provider infoRETINA ASSOCIATES OF MISSOURI, P.C.
COLUMBIA, MO 65202
COLUMBIA, MO 65202
33aNPI1144204553assigned 11/30/2005
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$379K
24GClaims12,355
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Missouri
Rank by total paid#1 of 11
Median peer was paid$11K
This provider vs. median33×
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 | 3,163 | $98K | |
| 2019 | 2,509 | $100K | |
| 2020 | 1,966 | $84K | |
| 2021 | 1,328 | $42K | |
| 2022 | 1,121 | $15K | |
| 2023 | 1,265 | $29K | |
| 2024incomplete | 1,003 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 63% | 869 | 610 | $240K |
| 67028 | Intravitreal injection of a pharmacologic agent | 22% | 2,955 | 2,030 | $81K |
| 92134 | 8.3% | 4,620 | 3,589 | $31K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.7% | 1,387 | 1,070 | $22K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.0% | 129 | 100 | $4K |
| 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% | 31 | 25 | $188.34 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 515 | 481 | $0.00 |
| 1036F | 0% | 577 | 522 | $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% | 69 | 63 | $0.00 |
| 4177F | 0% | 13 | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,025 | 915 | $0.00 |
| 2022F | 0% | 165 | 148 | $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 officialBLAIR, JERRY (PRESIDENT)