INDIANA RETINA CENTER LLC
NPI: 1518609429
· FORT WAYNE, IN 46804
· 207WX0107X
$832K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
797 |
$30K |
| 2023 |
6,425 |
$443K |
| 2024 |
4,406 |
$359K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
794 |
429 |
$466K |
| 67028 |
|
2,903 |
2,004 |
$134K |
| J9035 |
Bevacizumab injection |
2,238 |
1,274 |
$89K |
| 92134 |
|
3,526 |
2,494 |
$47K |
| 99214 |
|
936 |
664 |
$42K |
| 99204 |
|
653 |
470 |
$38K |
| 92250 |
|
455 |
324 |
$9K |
| 92235 |
|
81 |
58 |
$5K |
| 99213 |
|
26 |
16 |
$804.26 |
| 99203 |
|
16 |
13 |
$714.08 |