Physician
Retina Institute of Virginia PLLC
Retina Institute of Virginia PLLC was paid $3.43M by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 68% of everything it billed.
33Billing provider infoRETINA INSTITUTE OF VIRGINIA PLLC
RICHMOND, VA 23235
RICHMOND, VA 23235
33aNPI1306808167assigned 04/05/2006
33bProvider typeOphthalmology Physician
28Total paid$3.43M
24GClaims51,650
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Ophthalmology Physician providers in Virginia
Rank by total paid#2 of 129
Median peer was paid$14K
This provider vs. median248×
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 | 5,769 | $54K | |
| 2019 | 8,586 | $283K | |
| 2020 | 8,178 | $510K | |
| 2021 | 11,599 | $1.01M | |
| 2022 | 11,389 | $1.01M | |
| 2023 | 6,129 | $564K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 68% | 3,056 | 1,698 | $2.35M |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 9,076 | 6,913 | $428K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.0% | 4,513 | 3,838 | $241K |
| J9035 | Injection, bevacizumab, 10 mg | 4.9% | 4,913 | 2,769 | $168K |
| 92134 | 4.3% | 8,359 | 6,735 | $147K | |
| 92250 | 2.6% | 4,343 | 3,770 | $88K | |
| 1036F | <1% | 6,449 | 5,624 | $4K | |
| 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% | 57 | 51 | $4K |
| 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% | 164 | 124 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | 12 | $953.82 |
| 2022F | <1% | 1,251 | 1,103 | $475.00 | |
| 5010F | <1% | 1,495 | 1,313 | $450.00 |
2 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,524 | $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% | 1,437 | $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 officialVEDITZ, ALLISON (ADMINISTRATOR)