Physician
Deep Blue Retina, PLLC
Deep Blue Retina, PLLC was paid $63K by Medicaid between Jul 2019 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.
33Billing provider infoDEEP BLUE RETINA, PLLC
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1427511880assigned 04/11/2019
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$63K
24GClaims5,042
24DCodes billed7
24AFirst – last monthJul 2019 – Nov 2024
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 | |
|---|---|---|---|
| 2019 | 138 | $682.54 | |
| 2020 | 458 | $8K | |
| 2021 | 772 | $12K | |
| 2022 | 1,550 | $21K | |
| 2023 | 1,411 | $16K | |
| 2024incomplete | 713 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 53% | 1,422 | 1,062 | $33K |
| 67028 | Intravitreal injection of a pharmacologic agent | 18% | 535 | 389 | $11K |
| 92134 | 15% | 2,168 | 1,633 | $10K | |
| 92250 | 8.7% | 435 | 350 | $6K | |
| J9035 | Injection, bevacizumab, 10 mg | 3.0% | 410 | 286 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.0% | 28 | 26 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | 39 | $478.31 |
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 officialCALZADA, JORGE (PRESIDENT)