PACIFIC RETINA CARE. LLC
NPI: 1619118825
· WAIPAHU, HI 96797
· 207W00000X
$1.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,276 |
$345K |
| 2019 |
5,782 |
$293K |
| 2020 |
4,784 |
$255K |
| 2021 |
4,818 |
$162K |
| 2022 |
4,791 |
$147K |
| 2023 |
4,429 |
$141K |
| 2024 |
2,781 |
$206K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
769 |
637 |
$960K |
| 92014 |
|
3,420 |
3,123 |
$175K |
| 67028 |
|
1,030 |
868 |
$131K |
| 92250 |
|
2,421 |
2,302 |
$89K |
| 92134 |
|
2,834 |
2,378 |
$76K |
| 92226 |
|
2,889 |
1,295 |
$59K |
| 92201 |
|
1,533 |
1,105 |
$28K |
| S9999 |
Sales tax |
385 |
255 |
$6K |
| 5010F |
|
2,988 |
2,283 |
$5K |
| 1036F |
|
2,567 |
2,054 |
$5K |
| 2022F |
|
3,188 |
2,456 |
$4K |
| 92202 |
|
257 |
223 |
$3K |
| G8427 |
Docrev cur meds by elig clin |
4,424 |
3,576 |
$3K |
| 99204 |
|
38 |
37 |
$2K |
| G9903 |
Pt scrn tbco id as non user |
3,590 |
2,871 |
$2K |
| A4550 |
Surgical trays |
400 |
314 |
$1K |
| 99072 |
|
240 |
181 |
$1K |
| 92225 |
|
49 |
27 |
$896.24 |
| G9902 |
Pt scrn tbco and id as user |
124 |
107 |
$0.10 |
| 4177F |
|
113 |
95 |
$0.01 |
| G9974 |
Mac exam perf |
57 |
52 |
$0.01 |
| G9906 |
Pt recv tbco cess interv |
123 |
89 |
$0.00 |
| 99024 |
|
35 |
13 |
$0.00 |
| 2019F |
|
36 |
26 |
$0.00 |
| 4004F |
|
137 |
100 |
$0.00 |
| 0517F |
|
14 |
12 |
$0.00 |