Physician
Retina Consultants of Worcester PC
Retina Consultants of Worcester PC was paid $72K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92134, — 42% of everything it billed.
33Billing provider infoRETINA CONSULTANTS OF WORCESTER PC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1144397498assigned 11/30/2006
33bProvider typeOphthalmology Physician
28Total paid$72K
24GClaims4,230
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#65 of 203
Median peer was paid$18K
This provider vs. median4.1×
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
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 | 482 | $6K | |
| 2019 | 725 | $11K | |
| 2020 | 682 | $10K | |
| 2021 | 498 | $7K | |
| 2022 | 511 | $8K | |
| 2023 | 668 | $14K | |
| 2024incomplete | 664 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 42% | 2,193 | 1,727 | $30K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 29% | 582 | 569 | $21K |
| 67028 | Intravitreal injection of a pharmacologic agent | 20% | 704 | 686 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.6% | 98 | 95 | $4K |
| 92250 | 2.2% | 77 | 63 | $2K | |
| 92226 | 1.4% | 77 | 69 | $1K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 24 | 24 | $380.00 |
| 92202 | <1% | 26 | 26 | $128.28 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 304 | 296 | $0.00 |
| 5010F | 0% | 12 | 12 | $0.00 | |
| 2022F | 0% | 12 | 12 | $0.00 | |
| 1036F | 0% | 109 | 107 | $0.00 |
1 more codes
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 12 | $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 officialBRADBURY, MICHAEL (PRESIDENT)