Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONMOUTH RETINA CONSULTANTS, P.A.

NPI: 1437179942 · LITTLE SILVER, NJ 07739 · Ophthalmology Physician · NPI assigned 07/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$476K
Total Medicaid Paid
28,027
Total Claims
21,557
Beneficiaries
17
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (MANAGER)
NPI Enumeration Date07/20/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
BLUE SKY VISION EYE CARE, P.C GRAND RAPIDS MI $9.34M
VIRGINIA EYE CONSULTANTS INC NORFOLK VA $8.26M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FLORENCE OPHTHALMOLOGY LLC FLORENCE AL $42K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $40.00
2021 13 $18.70
2022 8,110 $104K
2023 12,451 $214K
2024 7,441 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
67028 Intravitreal injection of a pharmacologic agent 4,734 3,520 $161K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,716 3,808 $79K
J9035 Injection, bevacizumab, 10 mg 2,569 1,569 $71K
92250 5,838 4,754 $68K
92235 935 765 $25K
92134 2,545 2,036 $19K
92020 3,118 2,546 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 771 645 $16K
92273 524 375 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 802 580 $6K
92201 450 361 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 64 51 $1K
76512 55 40 $1K
J7999 Compounded drug, not otherwise classified 800 421 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59 45 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $944.79
92202 31 25 $68.98