Physician
Lancaster Retina Specialists PC
Lancaster Retina Specialists PC was paid $228K by Medicaid between Mar 2018 and Nov 2024, across 9 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 45% of everything it billed.
33Billing provider infoLANCASTER RETINA SPECIALISTS PC
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1558785725assigned 02/09/2014
33bProvider typeOphthalmology Physician
28Total paid$228K
24GClaims5,804
24DCodes billed9
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#35 of 288
Median peer was paid$7K
This provider vs. median33×
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 | 30 | $151.07 | |
| 2019 | 99 | $995.98 | |
| 2020 | 104 | $4K | |
| 2021 | 1,239 | $53K | |
| 2022 | 1,251 | $47K | |
| 2023 | 1,759 | $73K | |
| 2024incomplete | 1,322 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 45% | 1,350 | 1,210 | $102K |
| 92134 | 22% | 2,051 | 1,941 | $51K | |
| 92250 | 19% | 1,010 | 937 | $43K | |
| J9035 | Injection, bevacizumab, 10 mg | 7.0% | 680 | 659 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 274 | 256 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.8% | 246 | 239 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | 56 | $1K |
| 92002 | <1% | 15 | 14 | $412.27 | |
| J7999 | Compounded drug, not otherwise classified | 0% | 120 | 109 | $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 officialBROD, ROY (PRESIDENT)