Retina Consultants of Oklahoma PLLC

Retina Consultants of Oklahoma PLLC was paid $256K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is Q5128, Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg — 30% of everything it billed.

33Billing provider infoRETINA CONSULTANTS OF OKLAHOMA PLLC
OKLAHOMA CITY, OK 73159

33aNPI1215245014assigned 09/15/2010

33bProvider typeOphthalmology Physician

28Total paid$256K

24GClaims5,205

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Oklahoma

Rank by total paid#7 of 43

Median peer was paid$17K

This provider vs. median15×

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	506	$12K
2019	330	$8K
2020	51	$1K
2021	245	$6K
2022	564	$16K
2023	1,504	$85K
2024incomplete	2,005	$128K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	30%	96	94	$78K
67028	Intravitreal injection of a pharmacologic agent	28%	1,511	1,448	$73K
92134		15%	1,935	1,917	$39K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	887	877	$36K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.2%	386	374	$13K
J9035	Injection, bevacizumab, 10 mg	3.8%	179	171	$10K
92250		1.3%	156	156	$3K
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%	28	28	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	27	27	$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 officialSCOTT, LANCE (PRESIDENT)