Monmouth Retina Consultants, P.A.
Monmouth Retina Consultants, P.A. was paid $476K by Medicaid between Oct 2018 and Nov 2024, across 17 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 34% of everything it billed.
LITTLE SILVER, NJ 07739
Next to other Ophthalmology Physician providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $40.00 | |
| 2021 | 13 | $18.70 | |
| 2022 | 8,110 | $104K | |
| 2023 | 12,451 | $214K | |
| 2024incomplete | 7,441 | $158K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 34% | 4,734 | 3,520 | $161K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 4,716 | 3,808 | $79K |
| J9035 | Injection, bevacizumab, 10 mg | 15% | 2,569 | 1,569 | $71K |
| 92250 | 14% | 5,838 | 4,754 | $68K | |
| 92235 | 5.2% | 935 | 765 | $25K | |
| 92134 | 3.9% | 2,545 | 2,036 | $19K | |
| 92020 | 3.5% | 3,118 | 2,546 | $17K | |
| 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 | 3.5% | 771 | 645 | $16K |
| 92273 | 1.5% | 524 | 375 | $7K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 802 | 580 | $6K |
| 92201 | <1% | 450 | 361 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 64 | 51 | $1K |
5 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.