Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Salem › NPI 1528181674
Physician

Retina Consultants, LLP

Retina Consultants, LLP was paid $6.55M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 72% of everything it billed.

33Billing provider infoRETINA CONSULTANTS, LLP
SALEM, OR 97302
33aNPI1528181674assigned 04/06/2007
33bProvider typeOphthalmology Physician
28Total paid$6.55M
24GClaims42,576
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Oregon

Rank by total paid#2 of 50
Median peer was paid$25K
This provider vs. median264×

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

$0$200K$400K$600K2018201920202021202220232024
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
20184,063$346K
20197,427$1.18M
20205,629$758K
20215,907$960K
20226,413$1.22M
20236,604$1.07M
2024incomplete6,533$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 72% 4,843 3,485 $4.69M
67028 Intravitreal injection of a pharmacologic agent 11% 12,436 10,172 $717K
92134 4.5% 13,688 11,586 $298K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.4% 4,404 3,573 $285K
J9035 Injection, bevacizumab, 10 mg 3.6% 2,962 2,384 $237K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.2% 1,683 1,350 $81K
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 1.1% 1,124 1,011 $69K
J2777 Injection, faricimab-svoa, 0.1 mg 1.0% 44 40 $68K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg <1% 40 40 $39K
J7999 Compounded drug, not otherwise classified <1% 519 423 $22K
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 <1% 153 144 $17K
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% 256 227 $12K
4 more codes
92235 <1% 126 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 54 $5K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 229 $0.00
2022F 0% 15 $0.00

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 officialSHEETS, TERI (CEO)