Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Fairfield › NPI 1497897532
Physician

Vitreo-Retinal Medical Group, INC.

Vitreo-Retinal Medical Group, INC. was paid $3.42M by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 60% of everything it billed.

33Billing provider infoVITREO-RETINAL MEDICAL GROUP, INC.
FAIRFIELD, CA 94534
33aNPI1497897532assigned 02/13/2007
33bProvider typeOphthalmology Physician
28Total paid$3.42M
24GClaims16,082
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#26 of 759
Median peer was paid$35K
This provider vs. median97×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PEARLMAN, JOEL controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20182,140$196K
20191,807$175K
20201,792$294K
20212,700$564K
20222,691$877K
20232,909$907K
2024incomplete2,043$406K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 60% 5,642 4,363 $2.06M
J0178 Injection, aflibercept, 1 mg 28% 603 576 $955K
92134 5.3% 6,017 5,755 $180K
J2778 Injection, ranibizumab, 0.1 mg 1.8% 89 86 $60K
92235 1.3% 729 714 $45K
92250 1.0% 886 868 $35K
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% 724 705 $21K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg <1% 31 24 $20K
J9035 Injection, bevacizumab, 10 mg <1% 212 198 $16K
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% 279 267 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 687 674 $8K
J7999 Compounded drug, not otherwise classified <1% 183 174 $4K

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 officialPEARLMAN, JOEL (PRESIDENT)
Same official

Other billing entities under PEARLMAN, JOEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.