Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RETINA ASSOCIATES, PC

NPI: 1245233014 · MERRILLVILLE, IN 46410 · Ophthalmology Physician · NPI assigned 05/24/2005

$2.09M
Total Medicaid Paid
69,410
Total Claims
61,045
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPELZEK, CHRISTOPHER (PRESIDENT)
NPI Enumeration Date05/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,475 $58K
2019 11,638 $234K
2020 7,855 $212K
2021 9,265 $309K
2022 9,966 $381K
2023 11,474 $543K
2024 8,737 $357K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,494 11,321 $693K
67028 Intravitreal injection of a pharmacologic agent 11,764 9,713 $474K
92134 17,215 15,454 $298K
J9035 Injection, bevacizumab, 10 mg 3,222 2,737 $180K
J0178 Injection, aflibercept, 1 mg 187 165 $162K
J2777 Injection, faricimab-svoa, 0.1 mg 115 95 $111K
92202 6,538 6,033 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 736 680 $49K
92235 764 709 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,038 1,793 $16K
92226 2,353 1,777 $16K
92250 473 429 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92 88 $5K
J3590 Unclassified biologics 1,434 1,103 $2K
92225 170 135 $217.06
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,165 2,860 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 418 362 $0.00
67228 15 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,809 4,315 $0.00
2022F 928 839 $0.00
5010F 419 364 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 61 59 $0.00