Physician
Retina and Vitreous Associates of Kentucky PLLC
Retina and Vitreous Associates of Kentucky PLLC was paid $13.25M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 72% of everything it billed.
33Billing provider infoRETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1619949971assigned 02/02/2006
33bProvider typeOphthalmology Physician
28Total paid$13.25M
24GClaims104,887
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Kentucky
Rank by total paid#1 of 110
Median peer was paid$15K
This provider vs. median859×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
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 | 11,917 | $1.32M | |
| 2019 | 11,930 | $1.13M | |
| 2020 | 15,326 | $2.06M | |
| 2021 | 17,032 | $2.50M | |
| 2022 | 14,824 | $2.21M | |
| 2023 | 22,162 | $2.23M | |
| 2024incomplete | 11,696 | $1.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 72% | 14,797 | 7,696 | $9.52M |
| 67028 | Intravitreal injection of a pharmacologic agent | 17% | 32,008 | 22,406 | $2.26M |
| 92134 | 4.4% | 34,798 | 25,767 | $579K | |
| J2778 | Injection, ranibizumab, 0.1 mg | 1.9% | 672 | 370 | $253K |
| J9035 | Injection, bevacizumab, 10 mg | 1.7% | 4,704 | 2,871 | $228K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 9,735 | 7,627 | $193K |
| 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% | 3,377 | 2,420 | $99K |
| 92250 | <1% | 2,827 | 2,265 | $79K | |
| J3590 | Unclassified biologics | <1% | 1,670 | 950 | $23K |
| 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% | 259 | 212 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 25 | $1K |
| 92235 | <1% | 14 | 12 | $603.22 |
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 officialGIRA, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Nationwide Vision Center, LLC | Mesa, AZ | $42.44M |
| Blue Sky Vision Eye Care, P.C | Grand Rapids, MI | $9.34M |
| Virginia Eye Consultants INC | Norfolk, VA | $8.26M |
| Eye Centers of Louisville,psc | Louisville, KY | $7.49M |
| Grene Vision Group LLC | Wichita, KS | $6.29M |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $3.10M |
| Mcpeak Vision Partners PLLC | Glasgow, KY | $2.58M |
| Steven A. Kuhl Od, LLC | Wichita, KS | $2.36M |
| Virginia Surgery Center, LLC | Norfolk, VA | $1.22M |
| John Kenyon American Eye Institute LLC | New Albany, IN | $904K |
| John Kenyon American Eye Institute LLC | Elizabethtown, KY | $866K |
| Tuscaloosa Ophthalmology, INC. | Tuscaloosa, AL | $690K |
| Monmouth Retina Consultants, P.A. | Little Silver, NJ | $476K |
| Eye Associates of Oklahoma PLLC | Oklahoma City, OK | $197K |
| The Ophthalmology Group, LLC | Paducah, KY | $143K |
| Emilio Martin Justo MD PC | Sun City, AZ | $131K |
| Reynolds & Anliker Eye Physicians & Surgeons LLC | Emporia, KS | $92K |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $73K |
| Florence Ophthalmology LLC | Florence, AL | $42K |
| Frisco Eye Associates | Frisco, TX | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.