MID SOUTH RETINA ASSOCIATES, LLC
NPI: 1316973076
· BLYTHEVILLE, AR 72315
· Ophthalmology Physician
· NPI assigned 06/24/2006
$274K
Total Medicaid Paid
Provider Details
| Authorized Official | SIEVERS, RICHARD (PARTNER) |
| Parent Organization | MID-SOUTH RETINA ASSOCIATES, LLC |
| NPI Enumeration Date | 06/24/2006 |
Related Entities
Other providers sharing the same authorized official: SIEVERS, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
504 |
$26K |
| 2019 |
721 |
$34K |
| 2020 |
945 |
$40K |
| 2021 |
1,723 |
$54K |
| 2022 |
1,705 |
$65K |
| 2023 |
800 |
$40K |
| 2024 |
483 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,109 |
1,522 |
$158K |
| 92134 |
|
3,671 |
2,888 |
$110K |
| J9035 |
Injection, bevacizumab, 10 mg |
985 |
620 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
87 |
65 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
28 |
$919.97 |