Retina Macula Eye Care, P.C.

Retina Macula Eye Care, P.C. was paid $5K by Medicaid between Jul 2018 and Jun 2023, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.

33Billing provider infoRETINA MACULA EYE CARE, P.C.
CANTON, MA 02021

33aNPI1497080907assigned 10/16/2009

33bProvider typeOphthalmology Physician

28Total paid$5K

24GClaims307

24DCodes billed4

24AFirst – last monthJul 2018 – Jun 2023

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#131 of 203

Median peer was paid$18K

This provider vs. median0.3×

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	66	$840.24
2019	24	$236.88
2020	40	$1K
2021	45	$440.52
2022	94	$2K
2023	38	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	50%	52	52	$3K
92226		20%	90	41	$1K
92201		16%	72	69	$890.01
92134		14%	93	91	$744.56

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 officialTIMOTHY, NIGEL (PRESIDENT)