Retina Group, INC
Retina Group, INC was paid $4.44M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 79% of everything it billed.
33Billing provider infoRETINA GROUP, INC
COLUMBUS, OH 43215
COLUMBUS, OH 43215
33aNPI1588794200assigned 03/06/2007
33bProvider typeSpecialist
28Total paid$4.44M
24GClaims70,597
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#5 of 219
Median peer was paid$46K
This provider vs. median97×
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 | 8,600 | $344K | |
| 2019 | 11,063 | $336K | |
| 2020 | 10,927 | $265K | |
| 2021 | 11,810 | $475K | |
| 2022 | 12,748 | $1.02M | |
| 2023 | 10,073 | $1.38M | |
| 2024incomplete | 5,376 | $612K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 79% | 3,090 | 2,522 | $3.50M |
| 67028 | Intravitreal injection of a pharmacologic agent | 12% | 9,998 | 8,211 | $542K |
| 92134 | 3.1% | 15,048 | 12,763 | $136K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 4,911 | 4,332 | $118K |
| 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 | 1.2% | 1,458 | 1,269 | $54K |
| 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% | 550 | 479 | $30K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 571 | 472 | $27K |
| J3590 | Unclassified biologics | <1% | 728 | 604 | $26K |
| 92226 | <1% | 431 | 250 | $4K | |
| 92202 | <1% | 203 | 171 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 53 | 48 | $716.12 |
| 92225 | <1% | 24 | 14 | $177.56 |
15 more codes
| 2026F | 0% | 2,526 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 4,170 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,272 | $0.00 |
| 2024F | 0% | 2,526 | $0.00 | |
| 2022F | 0% | 2,759 | $0.00 | |
| 5010F | 0% | 1,917 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 608 | $0.00 |
| 4004F | 0% | 63 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 1,958 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 5,355 | $0.00 |
| 1036F | 0% | 6,094 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 194 | $0.00 |
| 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) | 0% | 63 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 14 | $0.00 |
| 4177F | 0% | 13 | $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 officialDELANEY, NICKOLE (PRACTICE ADMINISTRATOR)