Managed care
Retina Specialists, P.A.
Retina Specialists, P.A. was paid $29K by Medicaid between Oct 2020 and Apr 2024, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 76% of everything it billed.
33Billing provider infoRETINA SPECIALISTS, P.A.
CORPUS CHRISTI, TX 78411
CORPUS CHRISTI, TX 78411
33aNPI1194934323assigned 05/22/2007
33bProvider typeHealth Maintenance Organization
28Total paid$29K
24GClaims661
24DCodes billed2
24AFirst – last monthOct 2020 – Apr 2024
Compared with peers
Next to other Health Maintenance Organization providers in Texas
Rank by total paid#7 of 16
Median peer was paid$18K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 34 | $526.96 | |
| 2021 | 281 | $11K | |
| 2022 | 189 | $10K | |
| 2023 | 131 | $6K | |
| 2024incomplete | 26 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 76% | 370 | 349 | $22K |
| 92134 | 24% | 291 | 286 | $7K |
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 officialKUFFEL, RONALD (PRESIDENT)