Physician
Southern Retina Consultants PSC
Southern Retina Consultants PSC was paid $947K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoSOUTHERN RETINA CONSULTANTS PSC
PONCE, PR 00716
PONCE, PR 00716
33aNPI1154314292assigned 08/24/2005
33bProvider typeOphthalmology Physician
28Total paid$947K
24GClaims13,419
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#20 of 141
Median peer was paid$163K
This provider vs. median5.8×
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 | 2,462 | $132K | |
| 2019 | 3,373 | $157K | |
| 2020 | 1,439 | $103K | |
| 2021 | 1,971 | $157K | |
| 2022 | 2,108 | $181K | |
| 2023 | 1,500 | $149K | |
| 2024incomplete | 566 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 45% | 4,032 | 3,757 | $426K |
| 67028 | Intravitreal injection of a pharmacologic agent | 21% | 1,487 | 1,336 | $199K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 1,095 | 1,027 | $116K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.7% | 1,240 | 1,141 | $82K |
| 92134 | 3.7% | 1,473 | 1,393 | $36K | |
| 92015 | Determination of refractive state | 2.5% | 676 | 656 | $24K |
| C9257 | Injection, bevacizumab, 0.25 mg | 1.5% | 98 | 70 | $14K |
| 92250 | 1.3% | 1,326 | 1,182 | $12K | |
| 67228 | 1.1% | 18 | 15 | $11K | |
| 92002 | <1% | 182 | 174 | $9K | |
| 92225 | <1% | 624 | 322 | $6K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 12 | 12 | $5K |
5 more codes
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 officialGUTIERREZ-DORRINGTON, JORGE (PRESIDENT)