Associated Retinal Consultants LLC
Associated Retinal Consultants LLC was paid $25.19M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 42% of everything it billed.
33Billing provider infoASSOCIATED RETINAL CONSULTANTS LLC
VAUXHALL, NJ 07088
VAUXHALL, NJ 07088
33aNPI1164578894assigned 01/26/2007
33bProvider typeOptometrist
28Total paid$25.19M
24GClaims403,720
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#1 of 599
Median peer was paid$2K
This provider vs. median13,999×
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 | 72,788 | $2.58M | |
| 2019 | 39,869 | $2.61M | |
| 2020 | 23,357 | $2.02M | |
| 2021 | 42,867 | $3.17M | |
| 2022 | 68,799 | $4.76M | |
| 2023 | 91,487 | $6.12M | |
| 2024incomplete | 64,553 | $3.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 42% | 12,624 | 9,035 | $10.50M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 79,089 | 65,080 | $4.74M |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 53,087 | 39,062 | $2.68M |
| 92134 | 8.6% | 94,498 | 78,226 | $2.17M | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.9% | 8,782 | 7,850 | $990K |
| J0177 | Injection, aflibercept hd, 1 mg | 2.3% | 1,077 | 611 | $585K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 3,436 | 3,270 | $434K |
| J2778 | Injection, ranibizumab, 0.1 mg | 1.6% | 572 | 519 | $400K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 5,078 | 4,392 | $361K |
| 92226 | 1.3% | 21,371 | 13,997 | $327K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 6,805 | 5,666 | $310K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 6,021 | 5,090 | $286K |
38 more codes
| J9035 | Injection, bevacizumab, 10 mg | 1.0% | 4,607 | $257K |
| 92202 | <1% | 33,530 | $246K | |
| 92250 | <1% | 4,524 | $188K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 557 | $145K |
| 92201 | <1% | 6,519 | $111K | |
| 92015 | Determination of refractive state | <1% | 8,113 | $99K |
| 92060 | <1% | 1,517 | $96K | |
| 92225 | <1% | 4,042 | $80K | |
| 92235 | <1% | 406 | $31K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 124 | $23K |
| J3590 | Unclassified biologics | <1% | 288 | $22K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | <1% | 46 | $22K |
| 92136 | <1% | 952 | $20K | |
| 92083 | <1% | 433 | $13K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 670 | $13K |
| 92133 | <1% | 525 | $11K | |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | <1% | 14 | $7K |
| 92020 | <1% | 520 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $3K |
| 76512 | <1% | 18 | $633.52 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $597.63 |
| J7999 | Compounded drug, not otherwise classified | <1% | 321 | $482.22 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 9,857 | $370.34 |
| 4040F | <1% | 5,108 | $45.97 | |
| 1036F | 0% | 9,334 | $0.00 | |
| 4177F | 0% | 1,079 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,656 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 2,787 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 48 | $0.00 |
| 2019F | 0% | 625 | $0.00 | |
| 2023F | 0% | 25 | $0.00 | |
| 2022F | 0% | 3,488 | $0.00 | |
| 2021F | 0% | 2,710 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,540 | $0.00 |
| 5010F | 0% | 2,798 | $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% | 417 | $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 officialMADREPERLA, STEVEN (OWNER/CEO)
| Provider | Location | Paid |
|---|---|---|
| The Retina Group of Washington, PLLC | Greenbelt, MD | $19.61M |
| Spokane Eye Clinic PS | Spokane, WA | $8.00M |
| Lakeview Surgery Center LLC | Bowie, MD | $43K |
| Seidenberg Protzko Surgery Center LLC | Aberdeen, MD | $13K |
| Spokane Eye Clinic PS | Spokane, WA | $3K |
| Associated Retinal Consultants, LLC | Linwood, NJ | $26.00 |
| Friendship Ambulatory Surgery Center, LLC | Chevy Chase, MD | $0.00 |
| The Retina Group of Washington, PLLC | Rockville, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.