Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SALT LAKE RETINA, LLC

NPI: 1144622234 · WEST JORDAN, UT 84088 · Ophthalmology Physician · NPI assigned 09/19/2014

$768K
Total Medicaid Paid
8,277
Total Claims
6,502
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEHR, DOUGLAS (PRESIDENT)
NPI Enumeration Date09/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $12K
2019 514 $22K
2020 386 $18K
2021 1,795 $261K
2022 2,172 $256K
2023 1,896 $152K
2024 1,275 $48K

Billing Codes

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