Medicaid Provider Spending

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

BAY AREA RETINA ASSOCIATES

NPI: 1174557805 · WALNUT CREEK, CA 94598 · Retina Specialist (Ophthalmology) Physician · NPI assigned 07/10/2006

$30.39M
Total Medicaid Paid
158,413
Total Claims
146,038
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRANCHOD, TUSHAR (PARTNER)
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,373 $1.50M
2019 18,890 $1.93M
2020 17,848 $2.89M
2021 23,266 $4.15M
2022 24,337 $5.39M
2023 29,514 $6.93M
2024 29,185 $7.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0178 Injection, aflibercept, 1 mg 16,371 15,556 $19.60M
67028 Intravitreal injection of a pharmacologic agent 34,741 28,648 $5.83M
J2777 Injection, faricimab-svoa, 0.1 mg 1,108 1,036 $1.53M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 23,302 21,617 $752K
92134 33,637 31,713 $648K
92250 21,980 21,171 $643K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,863 11,545 $464K
J9035 Injection, bevacizumab, 10 mg 4,068 3,622 $345K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,150 3,116 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,361 2,306 $116K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,799 1,784 $115K
92235 1,644 1,599 $110K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,924 1,917 $99K
Q5124 Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg 12 12 $6K
99244 Office or other outpatient consultation, moderate to high complexity 42 42 $4K
92225 78 75 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 94 94 $3K
92226 115 69 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 24 $1K
76512 29 24 $1K
J7999 Compounded drug, not otherwise classified 70 68 $1K