Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Erie Retinal Surgery, INC.

Erie Retinal Surgery, INC. was paid $95K by Medicaid between Jan 2018 and Aug 2022, across 6 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 57% of everything it billed.

33Billing provider infoERIE RETINAL SURGERY, INC.
ERIE, PA 16507
33aNPI1457313868assigned 04/03/2006
33bProvider typeOphthalmology Physician
28Total paid$95K
24GClaims1,760
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#54 of 288
Median peer was paid$7K
This provider vs. median14×

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

$0$10K$20K2018201920202021202220232024
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
2018158$5K
2019883$19K
2020102$4K
2021549$68K
202268$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 57% 179 124 $54K
67028 Intravitreal injection of a pharmacologic agent 37% 992 766 $35K
92134 2.5% 254 238 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.4% 209 205 $2K
92250 1.7% 113 108 $2K
92235 <1% 13 13 $89.00

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 officialDAILEY, JAMES (PRESIDENT)
Same official

Other billing entities under DAILEY, JAMES

Full network →
ProviderLocationPaid
Valley Pathology, L.L.C.Decatur, AL$80K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.