The Retina Group of Washington, PLLC
The Retina Group of Washington, PLLC was paid $19.61M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 53% of everything it billed.
33Billing provider infoTHE RETINA GROUP OF WASHINGTON, PLLC
GREENBELT, MD 20770
GREENBELT, MD 20770
33aNPI1225001654assigned 02/08/2006
33bProvider typeOptometrist
28Total paid$19.61M
24GClaims369,283
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Maryland
Rank by total paid#1 of 345
Median peer was paid$27K
This provider vs. median720×
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 | 31,948 | $511K | |
| 2019 | 45,797 | $853K | |
| 2020 | 39,725 | $1.33M | |
| 2021 | 56,248 | $2.38M | |
| 2022 | 72,779 | $4.40M | |
| 2023 | 71,207 | $5.78M | |
| 2024incomplete | 51,579 | $4.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 53% | 15,254 | 12,226 | $10.45M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 77,410 | 64,093 | $2.65M |
| 92134 | 8.8% | 106,803 | 88,950 | $1.73M | |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.0% | 37,853 | 30,312 | $1.18M |
| 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 | 5.4% | 18,081 | 15,228 | $1.07M |
| J2778 | Injection, ranibizumab, 0.1 mg | 2.5% | 1,880 | 1,504 | $482K |
| 92202 | 2.4% | 55,977 | 47,688 | $469K | |
| J0177 | Injection, aflibercept hd, 1 mg | 1.8% | 485 | 474 | $343K |
| 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 | 1.6% | 4,635 | 4,121 | $317K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | <1% | 295 | 270 | $149K |
| J3590 | Unclassified biologics | <1% | 202 | 191 | $138K |
| 92201 | <1% | 7,474 | 6,386 | $122K |
21 more codes
| J9035 | Injection, bevacizumab, 10 mg | <1% | 3,930 | $115K |
| 92250 | <1% | 4,223 | $101K | |
| 92235 | <1% | 2,893 | $83K | |
| J7999 | Compounded drug, not otherwise classified | <1% | 1,259 | $78K |
| 92226 | <1% | 25,222 | $60K | |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | <1% | 58 | $22K |
| 67228 | <1% | 79 | $12K | |
| 92225 | <1% | 2,457 | $12K | |
| 76512 | <1% | 794 | $9K | |
| 92133 | <1% | 455 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 339 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 214 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 335 | $2K |
| 92287 | <1% | 68 | $2K | |
| 92083 | <1% | 146 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $1K |
| 92015 | Determination of refractive state | <1% | 143 | $677.57 |
| 92020 | <1% | 14 | $264.65 | |
| 92136 | <1% | 27 | $144.73 | |
| 99426 | 0% | 208 | $0.00 | |
| 99427 | 0% | 42 | $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 officialMADREPERLA, STEVEN (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Associated Retinal Consultants LLC | Vauxhall, NJ | $25.19M |
| Spokane Eye Clinic PS | Spokane, WA | $8.00M |
| Lakeview Surgery Center LLC | Bowie, MD | $43K |
| Seidenberg Protzko Surgery Center LLC | Aberdeen, MD | $13K |
| Spokane Eye Clinic PS | Spokane, WA | $3K |
| Associated Retinal Consultants, LLC | Linwood, NJ | $26.00 |
| Friendship Ambulatory Surgery Center, LLC | Chevy Chase, MD | $0.00 |
| The Retina Group of Washington, PLLC | Rockville, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.