Physician
Retina Consultants of Carolina, PA
Retina Consultants of Carolina, PA was paid $128K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 37% of everything it billed.
33Billing provider infoRETINA CONSULTANTS OF CAROLINA, PA
GREENVILLE, SC 29605
GREENVILLE, SC 29605
33aNPI1194708719assigned 11/29/2005
33bProvider typeOphthalmology Physician
28Total paid$128K
24GClaims4,469
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#17 of 64
Median peer was paid$15K
This provider vs. median8.3×
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 | $2K | |
| 2019 | 724 | $10K | |
| 2020 | 46 | $1K | |
| 2021 | 356 | $10K | |
| 2022 | 907 | $46K | |
| 2023 | 1,172 | $30K | |
| 2024incomplete | 1,192 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 37% | 1,400 | 1,079 | $47K |
| 92134 | 28% | 2,262 | 2,129 | $36K | |
| J0178 | Injection, aflibercept, 1 mg | 15% | 27 | 24 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 487 | 461 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.5% | 199 | 164 | $4K |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 68 | 54 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 26 | 24 | $2K |
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 officialLEE, SHARON (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Longlife Health Care | Annandale, VA | $4.76M |
| Doc Shop, PA | Mission, KS | $28K |
| Idaho Physical Medicine & Rehabilitation | Boise, ID | $2K |
| Sunset Focus Optometry | San Francisco, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.