Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Retina and Macula Specialists PS

Retina and Macula Specialists PS was paid $323K by Medicaid between Jan 2018 and Jul 2018, across 10 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 72% of everything it billed.

33Billing provider infoRETINA AND MACULA SPECIALISTS PS
TACOMA, WA 98409
33aNPI1225109473assigned 11/10/2006
33bProvider typeOptometrist
28Total paid$323K
24GClaims3,539
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#61 of 565
Median peer was paid$23K
This provider vs. median14×

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$25K$50K$75K2018201920202021202220232024
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
20183,539$323K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 72% 285 232 $231K
J9035 Injection, bevacizumab, 10 mg 11% 662 554 $36K
67028 Intravitreal injection of a pharmacologic agent 10% 1,031 849 $32K
92134 3.7% 1,168 1,065 $12K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.5% 213 198 $5K
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 1.1% 68 67 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 27 25 $1K
92250 <1% 44 42 $842.50
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% 26 26 $582.24
92235 <1% 15 12 $443.52

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 officialENZ, PAULINNE (OFFICE MANAGER)