Clinic
Pacific Northwest Retina PLLC
Pacific Northwest Retina PLLC was paid $1.31M by Medicaid between Sep 2021 and Nov 2024, across 8 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 69% of everything it billed.
33Billing provider infoPACIFIC NORTHWEST RETINA PLLC
BELLEVUE, WA 98004
BELLEVUE, WA 98004
33aNPI1558940387assigned 04/07/2021
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.31M
24GClaims24,922
24DCodes billed8
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Washington
Rank by total paid#14 of 31
Median peer was paid$338K
This provider vs. median3.9×
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 | 2,283 | $29K | |
| 2022 | 7,445 | $263K | |
| 2023 | 6,914 | $521K | |
| 2024incomplete | 8,280 | $496K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 69% | 1,322 | 1,180 | $910K |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 6,824 | 6,031 | $160K |
| 92134 | 9.5% | 12,293 | 10,900 | $124K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 3,717 | 3,379 | $85K |
| 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 | 1.4% | 681 | 562 | $18K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | <1% | 12 | 12 | $11K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 34 | 24 | $2K |
| 99072 | 0% | 39 | 30 | $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 officialBIRNBACH, CHARLES (SECRETARY)