Salt Lake Retina, LLC

Salt Lake Retina, LLC was paid $768K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92134, — 62% of everything it billed.

33Billing provider infoSALT LAKE RETINA, LLC
WEST JORDAN, UT 84088

33aNPI1144622234assigned 09/19/2014

33bProvider typeOphthalmology Physician

28Total paid$768K

24GClaims8,277

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#4 of 62

Median peer was paid$7K

This provider vs. median113×

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	239	$12K
2019	514	$22K
2020	386	$18K
2021	1,795	$261K
2022	2,172	$256K
2023	1,896	$152K
2024incomplete	1,275	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92134		62%	3,257	2,669	$480K
67028	Intravitreal injection of a pharmacologic agent	14%	3,310	2,436	$108K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.7%	788	655	$75K
J0178	Injection, aflibercept, 1 mg	8.4%	48	41	$64K
J2778	Injection, ranibizumab, 0.1 mg	3.7%	275	196	$29K
J9035	Injection, bevacizumab, 10 mg	<1%	111	100	$7K
92250		<1%	438	368	$5K
92235		<1%	35	25	$1K
J7999	Compounded drug, not otherwise classified	<1%	15	12	$80.05

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 officialMEHR, DOUGLAS (PRESIDENT)