VITREO RETINAL CONSULTANTS, PSC
NPI: 1457497992
· BAYAMON, PR 00959
· Specialist
· NPI assigned 01/30/2007
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | BOADA, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 01/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,726 |
$105K |
| 2019 |
4,926 |
$95K |
| 2020 |
3,454 |
$93K |
| 2021 |
3,327 |
$141K |
| 2022 |
2,743 |
$171K |
| 2023 |
2,385 |
$271K |
| 2024 |
4,551 |
$581K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,382 |
6,158 |
$523K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
1,413 |
1,045 |
$487K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,553 |
1,177 |
$206K |
| 67210 |
|
185 |
128 |
$80K |
| 92134 |
|
6,437 |
5,247 |
$70K |
| 92201 |
|
2,321 |
1,901 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
256 |
239 |
$30K |
| 92226 |
|
3,340 |
1,478 |
$10K |
| 92225 |
|
896 |
386 |
$6K |
| 92002 |
|
122 |
56 |
$6K |
| 92202 |
|
1,114 |
927 |
$5K |
| 92235 |
|
47 |
39 |
$244.83 |
| 92250 |
|
46 |
38 |
$96.75 |