Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Idaho Retina Center PLLC

Idaho Retina Center PLLC was paid $3.00M by Medicaid between Oct 2019 and Dec 2024, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 40% of everything it billed.

33Billing provider infoIDAHO RETINA CENTER PLLC
BOISE, ID 83706
33aNPI1306400429assigned 04/24/2019
33bProvider typeOphthalmology Physician
28Total paid$3.00M
24GClaims19,537
24DCodes billed13
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Idaho

Rank by total paid#1 of 22
Median peer was paid$43K
This provider vs. median70×

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$50K$100K$150K2018201920202021202220232024
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
201981$2K
20201,617$68K
20213,027$455K
20224,458$1.15M
20235,139$535K
2024incomplete5,215$795K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 40% 897 768 $1.21M
J2778 Injection, ranibizumab, 0.1 mg 21% 924 811 $622K
67028 Intravitreal injection of a pharmacologic agent 11% 5,399 4,626 $320K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg 8.1% 304 260 $245K
J2777 Injection, faricimab-svoa, 0.1 mg 5.5% 137 109 $164K
J9035 Injection, bevacizumab, 10 mg 4.6% 2,146 1,939 $137K
92134 4.4% 7,019 6,187 $133K
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 3.4% 1,595 1,471 $101K
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 1.5% 522 488 $45K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 358 329 $17K
J7999 Compounded drug, not otherwise classified <1% 191 136 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 30 30 $2K
1 more codes
92202 <1% 15 $80.72

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 officialTORAB PARHIZ, ALI (MD)