Physician
Retina Specialists of Mississippi, PLLC
Retina Specialists of Mississippi, PLLC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 30% of everything it billed.
33Billing provider infoRETINA SPECIALISTS OF MISSISSIPPI, PLLC
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
33aNPI1588109821assigned 12/22/2016
33bProvider typeOphthalmology Physician
28Total paid$1.14M
24GClaims238,273
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Mississippi
Rank by total paid#3 of 75
Median peer was paid$24K
This provider vs. median48×
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 | 21,028 | $98K | |
| 2019 | 28,590 | $155K | |
| 2020 | 28,557 | $149K | |
| 2021 | 32,021 | $134K | |
| 2022 | 60,154 | $162K | |
| 2023 | 44,482 | $211K | |
| 2024incomplete | 23,441 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 30% | 15,041 | 11,932 | $349K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 6,235 | 4,921 | $176K |
| J9035 | Injection, bevacizumab, 10 mg | 15% | 11,424 | 9,317 | $170K |
| J2778 | Injection, ranibizumab, 0.1 mg | 7.5% | 445 | 433 | $86K |
| 92134 | 7.4% | 15,852 | 13,003 | $85K | |
| 92235 | 5.9% | 3,741 | 3,021 | $68K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 5,617 | 4,316 | $61K |
| 92250 | 3.7% | 4,976 | 3,936 | $42K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.6% | 2,634 | 2,417 | $30K |
| 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 | 2.1% | 606 | 585 | $24K |
| 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 | 1.4% | 359 | 285 | $16K |
| 4040F | <1% | 17,885 | 14,425 | $9K |
24 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 384 | $6K |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 15,067 | $6K |
| 1036F | <1% | 16,905 | $3K | |
| J7999 | Compounded drug, not otherwise classified | <1% | 2,950 | $3K |
| 92226 | <1% | 796 | $3K | |
| 92225 | <1% | 428 | $3K | |
| G8482 | Influenza immunization administered or previously received | <1% | 10,209 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 56 | $2K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 15,591 | $1K |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | <1% | 10,277 | $378.27 |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 4,124 | $298.56 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 17,946 | $163.99 |
| 5010F | <1% | 10,539 | $153.90 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 2,340 | $69.73 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | <1% | 1,742 | $69.72 |
| 4004F | <1% | 1,390 | $67.39 | |
| 2022F | <1% | 10,826 | $15.74 | |
| 2026F | 0% | 10,778 | $0.00 | |
| 2024F | 0% | 10,814 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 3,989 | $0.00 |
| 0517F | 0% | 524 | $0.00 | |
| 2027F | 0% | 83 | $0.00 | |
| 4177F | 0% | 4,171 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,529 | $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 officialLAUTEN, WRIGHT (SOLE MEMBER)