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

Retina Group of New England PC

Retina Group of New England PC was paid $8.58M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 59% of everything it billed.

33Billing provider infoRETINA GROUP OF NEW ENGLAND PC
WATERFORD, CT 06385
33aNPI1316329733assigned 06/22/2015
28Total paid$8.58M
24GClaims125,426
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201829,285$762K
201923,270$1.08M
202012,955$1.13M
202113,644$1.28M
202216,162$1.55M
202315,906$1.58M
2024incomplete14,204$1.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 59% 10,669 5,903 $5.03M
J2778 Injection, ranibizumab, 0.1 mg 20% 5,363 2,863 $1.68M
67028 Intravitreal injection of a pharmacologic agent 8.0% 23,469 14,002 $683K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg 3.4% 756 471 $291K
92250 1.9% 8,395 6,128 $161K
92134 1.7% 21,876 14,168 $145K
92235 1.1% 3,765 2,730 $95K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.0% 5,589 4,145 $90K
J9035 Injection, bevacizumab, 10 mg 1.0% 6,323 3,401 $87K
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% 1,688 1,287 $70K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 9,401 5,959 $67K
J3590 Unclassified biologics <1% 46 30 $62K
23 more codes
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,348 $47K
J3490 Unclassified drugs <1% 32 $39K
J0177 Injection, aflibercept hd, 1 mg <1% 23 $21K
99214 Doctor's office visit, returning patient (more involved) <1% 579 $11K
67228 <1% 21 $2K
5010F 0% 1,202 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,446 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 2,006 $0.00
2026F 0% 1,356 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,244 $0.00
2024F 0% 1,358 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 0% 907 $0.00
2021F 0% 1,064 $0.00
2022F 0% 1,353 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 22 $0.00
4177F 0% 1,602 $0.00
1036F 0% 2,694 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 1,889 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 1,647 $0.00
2019F 0% 673 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 406 $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% 1,202 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 12 $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 officialSURAWSKI, SUNNI (PRACTICE ADMIN)