Valley Retina Institute P.A.
Valley Retina Institute P.A. was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
MCALLEN, TX 78503
Next to other Optometrist providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,969 | $44K | |
| 2019 | 3,547 | $35K | |
| 2020 | 3,628 | $115K | |
| 2021 | 7,354 | $267K | |
| 2022 | 7,246 | $331K | |
| 2023 | 4,584 | $273K | |
| 2024incomplete | 3,088 | $160K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 7,496 | 7,150 | $310K |
| 67028 | Intravitreal injection of a pharmacologic agent | 20% | 7,096 | 5,931 | $250K |
| J0178 | Injection, aflibercept, 1 mg | 14% | 216 | 170 | $178K |
| J9035 | Injection, bevacizumab, 10 mg | 11% | 4,022 | 3,275 | $132K |
| 92134 | 8.2% | 7,736 | 7,503 | $100K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.4% | 940 | 914 | $79K |
| 92201 | 3.9% | 2,610 | 2,052 | $48K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 468 | 318 | $31K |
| 99254 | 2.5% | 266 | 253 | $30K | |
| 92250 | 1.2% | 357 | 342 | $14K | |
| 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 | 1.1% | 463 | 440 | $14K |
| 93892 | <1% | 279 | 274 | $10K |
11 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 482 | $9K |
| 92235 | <1% | 147 | $6K | |
| 93890 | <1% | 280 | $4K | |
| 93886 | <1% | 278 | $3K | |
| 92225 | <1% | 759 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $2K |
| 92136 | <1% | 71 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 44 | $981.65 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $718.52 |
| 92226 | <1% | 322 | $679.20 | |
| 92202 | <1% | 25 | $97.44 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ophthalmic Consultants of Texas P.A. | Harlingen, TX | $2.22M |
| RGV Optical Images, LLC | Weslaco, TX | $487K |
| RGV Optical Images LLC | Harlingen, TX | $143K |
| RGV Optical Images LLC | Harlingen, TX | $73K |
| Mcallen Surgical Specialty Center LTD | Mcallen, TX | $58K |
| Harlingen Surgical Center, LLC | Harlingen, TX | $47K |
| Rio Grande Valley Home Health, LLC | Edinburg, TX | $44K |
| Laredo Retina Associates, PLLC | Laredo, TX | $36K |
| RGV Optical Images LLC | La Joya, TX | $1K |
| RGV Optical Images LLC | Falfurrias, TX | $272.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.