Physician
Tri-State Retina P.C.
Tri-State Retina P.C. was paid $103K by Medicaid between Feb 2020 and Nov 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 32% of everything it billed.
33Billing provider infoTRI-STATE RETINA P.C.
MOUNT VERNON, NY 10552
MOUNT VERNON, NY 10552
33aNPI1396206306assigned 03/31/2019
33bProvider typeOphthalmology Physician
28Total paid$103K
24GClaims1,960
24DCodes billed9
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#387 of 1,085
Median peer was paid$34K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2020 | 59 | $4K | |
| 2021 | 416 | $23K | |
| 2022 | 608 | $32K | |
| 2023 | 657 | $34K | |
| 2024incomplete | 220 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 32% | 451 | 435 | $32K |
| 92134 | 24% | 741 | 700 | $24K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 21% | 218 | 189 | $22K |
| 92250 | 8.8% | 278 | 278 | $9K | |
| J9035 | Injection, bevacizumab, 10 mg | 8.3% | 149 | 130 | $9K |
| 76512 | 2.5% | 53 | 37 | $3K | |
| 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 | 2.0% | 14 | 14 | $2K |
| 92235 | 1.5% | 12 | 12 | $2K | |
| 92202 | <1% | 44 | 41 | $539.58 |
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 officialRADHAKRISHNAN, RAVI (PRESIDENT)