TRI-STATE RETINA P.C.
NPI: 1396206306
· MOUNT VERNON, NY 10552
· Ophthalmology Physician
· NPI assigned 03/31/2019
$103K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
59 |
$4K |
| 2021 |
416 |
$23K |
| 2022 |
608 |
$32K |
| 2023 |
657 |
$34K |
| 2024 |
220 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
451 |
435 |
$32K |
| 92134 |
|
741 |
700 |
$24K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
218 |
189 |
$22K |
| 92250 |
|
278 |
278 |
$9K |
| J9035 |
Injection, bevacizumab, 10 mg |
149 |
130 |
$9K |
| 76512 |
|
53 |
37 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 92235 |
|
12 |
12 |
$2K |
| 92202 |
|
44 |
41 |
$539.58 |