Physician
Retina Associates, PC
Retina Associates, PC was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoRETINA ASSOCIATES, PC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1245233014assigned 05/24/2005
33bProvider typeOphthalmology Physician
28Total paid$2.09M
24GClaims69,410
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Indiana
Rank by total paid#3 of 107
Median peer was paid$43K
This provider vs. median49×
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 | 10,475 | $58K | |
| 2019 | 11,638 | $234K | |
| 2020 | 7,855 | $212K | |
| 2021 | 9,265 | $309K | |
| 2022 | 9,966 | $381K | |
| 2023 | 11,474 | $543K | |
| 2024incomplete | 8,737 | $357K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 12,494 | 11,321 | $693K |
| 67028 | Intravitreal injection of a pharmacologic agent | 23% | 11,764 | 9,713 | $474K |
| 92134 | 14% | 17,215 | 15,454 | $298K | |
| J9035 | Injection, bevacizumab, 10 mg | 8.6% | 3,222 | 2,737 | $180K |
| J0178 | Injection, aflibercept, 1 mg | 7.7% | 187 | 165 | $162K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 5.3% | 115 | 95 | $111K |
| 92202 | 2.3% | 6,538 | 6,033 | $49K | |
| 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 | 2.3% | 736 | 680 | $49K |
| 92235 | 1.5% | 764 | 709 | $32K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,038 | 1,793 | $16K |
| 92226 | <1% | 2,353 | 1,777 | $16K | |
| 92250 | <1% | 473 | 429 | $7K |
10 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 92 | $5K |
| J3590 | Unclassified biologics | <1% | 1,434 | $2K |
| 92225 | <1% | 170 | $217.06 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,165 | $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 | 0% | 418 | $0.00 |
| 67228 | 0% | 15 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,809 | $0.00 |
| 2022F | 0% | 928 | $0.00 | |
| 5010F | 0% | 419 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 61 | $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 officialPELZEK, CHRISTOPHER (PRESIDENT)