Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MS › Southaven › NPI 1427511880
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
33aNPI1427511880assigned 04/11/2019
28Total paid$63K
24GClaims5,042
24DCodes billed7
24AFirst – last monthJul 2019 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2019138$682.54
2020458$8K
2021772$12K
20221,550$21K
20231,411$16K
2024incomplete713$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)