Physician
Mid Michigan Retina PLC
Mid Michigan Retina PLC was paid $296K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 43% of everything it billed.
33Billing provider infoMID MICHIGAN RETINA PLC
EAST LANSING, MI 48823
EAST LANSING, MI 48823
33aNPI1215175385assigned 01/28/2009
33bProvider typeOphthalmology Physician
28Total paid$296K
24GClaims10,319
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#32 of 106
Median peer was paid$51K
This provider vs. median5.8×
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 | 589 | $20K | |
| 2019 | 1,031 | $35K | |
| 2020 | 1,487 | $43K | |
| 2021 | 1,645 | $43K | |
| 2022 | 1,920 | $49K | |
| 2023 | 1,892 | $50K | |
| 2024incomplete | 1,755 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 43% | 3,632 | 3,091 | $128K |
| J9035 | Injection, bevacizumab, 10 mg | 34% | 2,522 | 2,094 | $102K |
| 92134 | 16% | 3,570 | 3,140 | $46K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 305 | 291 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 120 | 119 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 117 | 110 | $4K |
| J3590 | Unclassified biologics | <1% | 29 | 25 | $960.20 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 12 | 12 | $0.00 |
| 5010F | 0% | 12 | 12 | $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 officialAGGARWAL, ASHIM (SERVICING PROVIDER)