Charles Retina Institute PC
Charles Retina Institute PC was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 28% of everything it billed.
33Billing provider infoCHARLES RETINA INSTITUTE PC
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1477556306assigned 05/24/2005
33bProvider typeSpecialist
28Total paid$1.43M
24GClaims58,314
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#26 of 252
Median peer was paid$57K
This provider vs. median25×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,048 | $194K | |
| 2019 | 8,926 | $229K | |
| 2020 | 7,835 | $200K | |
| 2021 | 9,041 | $217K | |
| 2022 | 9,947 | $235K | |
| 2023 | 8,581 | $192K | |
| 2024incomplete | 5,936 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 28% | 8,885 | 6,881 | $396K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 9,592 | 8,174 | $221K |
| J9035 | Injection, bevacizumab, 10 mg | 12% | 8,992 | 5,148 | $176K |
| 92134 | 11% | 15,026 | 12,721 | $161K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.4% | 2,738 | 1,670 | $120K |
| 92226 | 6.7% | 3,821 | 1,668 | $96K | |
| 99222 | Initial hospital care, per day, moderate complexity | 5.9% | 991 | 933 | $84K |
| 92201 | 4.8% | 3,971 | 2,842 | $69K | |
| 92225 | 2.9% | 1,423 | 731 | $41K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 501 | 440 | $24K |
| 92250 | 1.6% | 1,178 | 1,009 | $23K | |
| 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% | 424 | 365 | $14K |
4 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.
From NPPES
Who's on the registration
Authorized officialMESSER, JENNIFER (ADMINISTRATOR)