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
WATERFORD, CT 06385
33aNPI1316329733assigned 06/22/2015
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$8.58M
24GClaims125,426
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
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 | 29,285 | $762K | |
| 2019 | 23,270 | $1.08M | |
| 2020 | 12,955 | $1.13M | |
| 2021 | 13,644 | $1.28M | |
| 2022 | 16,162 | $1.55M | |
| 2023 | 15,906 | $1.58M | |
| 2024incomplete | 14,204 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)