RETINA SPECIALISTS OF SAN ANTONIO, PLLC
NPI: 1457710592
· SAN ANTONIO, TX 78215
· Retina Specialist (Ophthalmology) Physician
· NPI assigned 02/17/2016
$218K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
171 |
$1K |
| 2019 |
128 |
$1K |
| 2020 |
313 |
$13K |
| 2021 |
763 |
$26K |
| 2022 |
499 |
$20K |
| 2023 |
603 |
$139K |
| 2024 |
276 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
120 |
76 |
$122K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,058 |
719 |
$52K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
738 |
690 |
$31K |
| 92134 |
|
778 |
734 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
27 |
$872.12 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$691.20 |
| 92250 |
|
13 |
13 |
$346.28 |