Physician
East Carolina Retina Consultants, PLLC
East Carolina Retina Consultants, PLLC was paid $32K by Medicaid between Jan 2018 and Jun 2024, across 17 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 39% of everything it billed.
33Billing provider infoEAST CAROLINA RETINA CONSULTANTS, PLLC
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1164683108assigned 06/23/2008
33bProvider typeOphthalmology Physician
28Total paid$32K
24GClaims6,246
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#55 of 118
Median peer was paid$22K
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 | 2,378 | $8K | |
| 2019 | 1,946 | $13K | |
| 2020 | 1,033 | $6K | |
| 2021 | 559 | $3K | |
| 2022 | 226 | $938.80 | |
| 2023 | 89 | $552.05 | |
| 2024incomplete | 15 | $103.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 39% | 989 | 810 | $13K |
| 92134 | 31% | 1,249 | 1,150 | $10K | |
| J9035 | Injection, bevacizumab, 10 mg | 20% | 816 | 730 | $7K |
| 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 | 6.5% | 62 | 61 | $2K |
| 92235 | 2.8% | 28 | 28 | $889.38 | |
| 92250 | <1% | 28 | 28 | $218.66 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 805 | 680 | $0.00 |
| 2022F | 0% | 85 | 67 | $0.00 | |
| 2026F | 0% | 85 | 67 | $0.00 | |
| 5010F | 0% | 83 | 65 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 118 | 103 | $0.00 |
| 2024F | 0% | 85 | 67 | $0.00 |
5 more codes
| 1036F | 0% | 775 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 625 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 285 | $0.00 |
| 4177F | 0% | 45 | $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% | 83 | $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 officialVAN HOUTEN, PETER (OWNER)