IDAHO RETINA CENTER PLLC
NPI: 1306400429
· BOISE, ID 83706
· 207W00000X
$3.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
81 |
$2K |
| 2020 |
1,617 |
$68K |
| 2021 |
3,027 |
$455K |
| 2022 |
4,458 |
$1.15M |
| 2023 |
5,139 |
$535K |
| 2024 |
5,215 |
$795K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
897 |
768 |
$1.21M |
| J2778 |
Ranibizumab injection |
924 |
811 |
$622K |
| 67028 |
|
5,399 |
4,626 |
$320K |
| Q5128 |
Inj, cimerli, 0.1 mg |
304 |
260 |
$245K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
137 |
109 |
$164K |
| J9035 |
Bevacizumab injection |
2,146 |
1,939 |
$137K |
| 92134 |
|
7,019 |
6,187 |
$133K |
| 99214 |
|
1,595 |
1,471 |
$101K |
| 99204 |
|
522 |
488 |
$45K |
| 92014 |
|
358 |
329 |
$17K |
| J7999 |
Compounded drug, noc |
191 |
136 |
$3K |
| 99213 |
|
30 |
30 |
$2K |
| 92202 |
|
15 |
13 |
$80.72 |