Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › San Antonio › NPI 1457710592
Physician

Retina Specialists of San Antonio, PLLC

Retina Specialists of San Antonio, PLLC was paid $218K by Medicaid between Feb 2018 and Oct 2024, across 7 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 56% of everything it billed.

33Billing provider infoRETINA SPECIALISTS OF SAN ANTONIO, PLLC
SAN ANTONIO, TX 78215
33aNPI1457710592assigned 02/17/2016
28Total paid$218K
24GClaims2,753
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in Texas

Rank by total paid#3 of 15
Median peer was paid$13K
This provider vs. median17×

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$20K$30K2018201920202021202220232024
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
2018171$1K
2019128$1K
2020313$13K
2021763$26K
2022499$20K
2023603$139K
2024incomplete276$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 56% 120 76 $122K
67028 Intravitreal injection of a pharmacologic agent 24% 1,058 719 $52K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 738 690 $31K
92134 5.2% 778 734 $11K
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 <1% 34 27 $872.12
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 12 12 $691.20
92250 <1% 13 13 $346.28

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 officialBRODRICK, CHARLES (OWNER)