Physician
Bluegrass Retina Consultants, PSC
Bluegrass Retina Consultants, PSC was paid $1.33M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 34% of everything it billed.
33Billing provider infoBLUEGRASS RETINA CONSULTANTS, PSC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1396859260assigned 08/18/2006
33bProvider typeOphthalmology Physician
28Total paid$1.33M
24GClaims24,166
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Kentucky
Rank by total paid#3 of 110
Median peer was paid$15K
This provider vs. median86×
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 | 2,918 | $264K | |
| 2019 | 4,340 | $281K | |
| 2020 | 2,366 | $74K | |
| 2021 | 3,692 | $146K | |
| 2022 | 4,482 | $267K | |
| 2023 | 3,934 | $188K | |
| 2024incomplete | 2,434 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 34% | 5,385 | 4,387 | $458K |
| J0178 | Injection, aflibercept, 1 mg | 19% | 299 | 219 | $252K |
| 92134 | 9.7% | 7,007 | 5,830 | $128K | |
| 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 | 9.2% | 3,093 | 2,636 | $122K |
| J9035 | Injection, bevacizumab, 10 mg | 8.2% | 1,718 | 1,434 | $108K |
| J2778 | Injection, ranibizumab, 0.1 mg | 6.1% | 83 | 71 | $81K |
| 92250 | 6.0% | 2,469 | 2,042 | $80K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 294 | 260 | $30K |
| 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 | 1.7% | 409 | 354 | $22K |
| 67228 | 1.2% | 29 | 24 | $16K | |
| 92235 | <1% | 320 | 275 | $12K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 730 | 594 | $10K |
6 more codes
| J3590 | Unclassified biologics | <1% | 1,173 | $6K |
| 92201 | <1% | 91 | $2K | |
| 99426 | <1% | 105 | $410.64 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 179 | $108.63 |
| 2021F | <1% | 663 | $5.84 | |
| 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% | 119 | $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 officialTHOMPSON, ANGELIA (OWNER)