RGB Eye Associates,pa

RGB Eye Associates,pa was paid $43K by Medicaid between Nov 2021 and Sep 2024, across 7 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 49% of everything it billed.

33Billing provider infoRGB EYE ASSOCIATES,PA
SHERMAN, TX 75090

33aNPI1508863994assigned 06/30/2005

33bProvider typeOphthalmology Physician

28Total paid$43K

24GClaims1,052

24DCodes billed7

24AFirst – last monthNov 2021 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#85 of 231

Median peer was paid$16K

This provider vs. median2.7×

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
2021	60	$2K
2022	351	$13K
2023	470	$21K
2024incomplete	171	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	49%	467	391	$21K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	30%	72	64	$13K
92136		7.7%	311	271	$3K
92134		6.1%	157	156	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.6%	12	12	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.1%	18	13	$912.76
J9035	Injection, bevacizumab, 10 mg	1.6%	15	14	$676.33

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 officialPLAUCHE, WILLIAM (PRESIDENT)