Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Edina Retina Consultants

Edina Retina Consultants was paid $164K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider infoEDINA RETINA CONSULTANTS
EDINA, MN 55435
33aNPI1144264995assigned 06/15/2006
33bProvider typeSpecialist
28Total paid$164K
24GClaims2,874
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Minnesota

Rank by total paid#15 of 41
Median peer was paid$27K
This provider vs. median6.1×

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
2018120$484.66
201956$2K
202087$3K
2021198$6K
2022597$45K
2023984$64K
2024incomplete832$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 34% 682 656 $56K
92134 24% 1,556 1,481 $40K
J0178 Injection, aflibercept, 1 mg 21% 30 24 $34K
67028 Intravitreal injection of a pharmacologic agent 17% 389 315 $28K
J9035 Injection, bevacizumab, 10 mg 3.2% 114 92 $5K
92202 <1% 86 84 $896.04
92020 <1% 17 17 $278.28

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 officialJOHNSTON, RICHARD (PRESIDENT)