Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Washington Retina, PLLC

Washington Retina, PLLC was paid $1.07M by Medicaid between Oct 2022 and Nov 2024, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 75% of everything it billed.

33Billing provider infoWASHINGTON RETINA, PLLC
AUBURN, WA 98002
33aNPI1215672084assigned 05/04/2022
33bProvider typeOphthalmology Physician
28Total paid$1.07M
24GClaims8,667
24DCodes billed12
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Washington

Rank by total paid#2 of 69
Median peer was paid$8K
This provider vs. median130×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2022200$3K
20233,261$262K
2024incomplete5,206$802K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 75% 664 625 $803K
67028 Intravitreal injection of a pharmacologic agent 7.1% 2,005 1,884 $76K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.2% 928 884 $45K
J9035 Injection, bevacizumab, 10 mg 4.0% 645 608 $42K
92134 3.1% 2,362 2,260 $33K
92235 1.8% 337 327 $19K
92250 1.3% 934 892 $14K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 387 365 $11K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 170 159 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 116 113 $8K
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 <1% 106 99 $5K
67228 <1% 13 12 $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 officialMANDIGA, RAHUL (MEMBER)