Physician
Southwest Retina Consultants PC
Southwest Retina Consultants PC was paid $778K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 59% of everything it billed.
33Billing provider infoSOUTHWEST RETINA CONSULTANTS PC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1346663721assigned 01/21/2014
33bProvider typeOphthalmology Physician
28Total paid$778K
24GClaims6,699
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Ophthalmology Physician providers in Colorado
Rank by total paid#6 of 56
Median peer was paid$50K
This provider vs. median16×
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 | 1,629 | $99K | |
| 2019 | 1,487 | $100K | |
| 2020 | 1,713 | $276K | |
| 2021 | 1,870 | $304K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 59% | 589 | 340 | $459K |
| 67028 | Intravitreal injection of a pharmacologic agent | 19% | 1,805 | 1,624 | $145K |
| 92134 | 9.3% | 3,288 | 2,956 | $72K | |
| J2778 | Injection, ranibizumab, 0.1 mg | 7.3% | 115 | 80 | $57K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 302 | 285 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.7% | 366 | 336 | $13K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 16 | 12 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 95 | 37 | $5K |
| 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% | 42 | 41 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | 13 | $1K |
| 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 | <1% | 18 | 16 | $1K |
| 92002 | <1% | 15 | 14 | $616.70 |
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 officialBATCHELOR, JENNIFER (PRACTICE ADMINISTRATOR)