Physician
Vitreoretinal Consultants INC.
Vitreoretinal Consultants INC. was paid $24K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 92134, — 46% of everything it billed.
33Billing provider infoVITREORETINAL CONSULTANTS INC.
BROOKLINE, MA 02446
BROOKLINE, MA 02446
33aNPI1154641173assigned 06/02/2010
33bProvider typeOphthalmology Physician
28Total paid$24K
24GClaims4,077
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#92 of 203
Median peer was paid$18K
This provider vs. median1.4×
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 | 1,088 | $5K | |
| 2019 | 1,294 | $6K | |
| 2020 | 511 | $2K | |
| 2021 | 356 | $3K | |
| 2022 | 377 | $5K | |
| 2023 | 335 | $3K | |
| 2024incomplete | 116 | $670.06 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 46% | 1,401 | 1,158 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 325 | 286 | $6K |
| 67028 | Intravitreal injection of a pharmacologic agent | 15% | 144 | 128 | $4K |
| 92250 | 7.8% | 158 | 117 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 40 | 39 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 534 | 471 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 464 | 405 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 109 | 95 | $0.00 |
| M1065 | Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 84 | 76 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 29 | 25 | $0.00 |
| 4040F | 0% | 180 | 158 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 16 | 12 | $0.00 |
5 more codes
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 32 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 481 | $0.00 |
| 4177F | 0% | 16 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 44 | $0.00 |
| 1036F | 0% | 20 | $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 officialSANG, DELIA (OWNER)