Carolina Retina Center P.A.

Carolina Retina Center P.A. was paid $10K by Medicaid between Jan 2018 and Jul 2021, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 57% of everything it billed.

33Billing provider infoCAROLINA RETINA CENTER P.A.
COLUMBIA, SC 29223

33aNPI1205892783assigned 04/25/2006

33bProvider typeOphthalmology Physician

28Total paid$10K

24GClaims312

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Ophthalmology Physician providers in South Carolina

Rank by total paid#39 of 64

Median peer was paid$15K

This provider vs. median0.7×

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	26	$757.15
2019	120	$3K
2020	75	$3K
2021	91	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	57%	205	172	$6K
67028	Intravitreal injection of a pharmacologic agent	38%	74	62	$4K
92134		4.8%	33	25	$495.24

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 officialGROSS, JEFFREY (PRESIDENT)

Same official

Other billing entities under GROSS, JEFFREY

Full network →

Provider	Location	Paid
DRS. Gross, Malcmacher, Thaler & Associates, LLC	Eastlake, OH	$135K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.