Physician
New England Retina Associates, P.C
New England Retina Associates, P.C was paid $4.36M by Medicaid between Jan 2018 and Apr 2023, across 15 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 50% of everything it billed.
33Billing provider infoNEW ENGLAND RETINA ASSOCIATES, P.C
HAMDEN, CT 06518
HAMDEN, CT 06518
33aNPI1497876502assigned 04/03/2007
33bProvider typeOphthalmology Physician
28Total paid$4.36M
24GClaims35,495
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Ophthalmology Physician providers in Connecticut
Rank by total paid#4 of 97
Median peer was paid$13K
This provider vs. median324×
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 | 3,838 | $169K | |
| 2019 | 6,224 | $593K | |
| 2020 | 6,284 | $733K | |
| 2021 | 8,162 | $1.20M | |
| 2022 | 8,511 | $1.29M | |
| 2023 | 2,476 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 50% | 2,546 | 2,031 | $2.18M |
| J2778 | Injection, ranibizumab, 0.1 mg | 26% | 1,439 | 991 | $1.14M |
| 67028 | Intravitreal injection of a pharmacologic agent | 11% | 7,780 | 6,337 | $473K |
| 92134 | 4.9% | 12,837 | 11,737 | $212K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.8% | 3,088 | 2,953 | $122K |
| J9035 | Injection, bevacizumab, 10 mg | 1.6% | 2,983 | 2,282 | $71K |
| 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 | 1.4% | 1,620 | 1,555 | $62K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 910 | 851 | $25K |
| 92250 | <1% | 878 | 821 | $25K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 987 | 934 | $20K |
| 67228 | <1% | 122 | 95 | $19K | |
| 92235 | <1% | 209 | 190 | $6K |
3 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 officialCONNERTON, DONNA (ADMINISTRATOR)