Physician
Pennsylvania Retina Specialists PC
Pennsylvania Retina Specialists PC was paid $596K by Medicaid between May 2018 and Nov 2024, across 11 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 63% of everything it billed.
33Billing provider infoPENNSYLVANIA RETINA SPECIALISTS PC
CAMP HILL, PA 17011
CAMP HILL, PA 17011
33aNPI1568428126assigned 04/24/2006
33bProvider typeOphthalmology Physician
28Total paid$596K
24GClaims17,996
24DCodes billed11
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Pennsylvania
Rank by total paid#15 of 288
Median peer was paid$7K
This provider vs. median86×
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 | 546 | $2K | |
| 2019 | 1,780 | $15K | |
| 2020 | 650 | $23K | |
| 2021 | 3,692 | $152K | |
| 2022 | 4,182 | $148K | |
| 2023 | 4,404 | $158K | |
| 2024incomplete | 2,742 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 63% | 6,027 | 5,201 | $373K |
| 92134 | 24% | 8,134 | 7,332 | $144K | |
| J9035 | Injection, bevacizumab, 10 mg | 5.2% | 1,649 | 1,433 | $31K |
| 92250 | 3.6% | 526 | 496 | $21K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 918 | 889 | $19K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 214 | 187 | $4K |
| 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% | 40 | 37 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 60 | 55 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 16 | 16 | $723.84 |
| 92235 | <1% | 14 | 12 | $332.15 | |
| J7999 | Compounded drug, not otherwise classified | 0% | 398 | 334 | $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 officialMARTIN, SUSAN (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| MHS Primary Care, INC | Middletown, CT | $5.38M |
| MHS Primary Care INC | Old Saybrook, CT | $1.18M |
| MHS Primary Care INC. | Middletown, CT | $376K |
| Pediatric Therapy Works, LLC | Bono, AR | $55K |
| MHS Primary Care INC | Middletown, CT | $14K |
| Susan A. Martin NP LLC | Lawrenceburg, IN | $2K |
| MHS Primary Care INC | Essex, CT | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.