Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Retina Associates of New York,p.C.

Retina Associates of New York,p.C. was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 24% of everything it billed.

33Billing provider infoRETINA ASSOCIATES OF NEW YORK,P.C.
NEW YORK, NY 10075
33aNPI1629145370assigned 11/29/2006
33bProvider typeSpecialist
28Total paid$2.09M
24GClaims45,071
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#89 of 1,221
Median peer was paid$45K
This provider vs. median46×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20184,911$216K
20195,546$233K
20204,199$199K
20217,453$329K
20229,158$420K
20238,383$457K
2024incomplete5,421$241K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 24% 9,863 9,442 $505K
92134 20% 16,136 15,421 $415K
67028 Intravitreal injection of a pharmacologic agent 20% 5,373 4,858 $412K
J9035 Injection, bevacizumab, 10 mg 11% 3,242 2,913 $238K
J0178 Injection, aflibercept, 1 mg 6.4% 162 151 $133K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.6% 986 986 $95K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.2% 995 985 $67K
92235 2.7% 776 774 $56K
92226 2.4% 2,387 1,844 $50K
92201 1.6% 2,345 2,334 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 546 528 $30K
67228 1.1% 64 62 $23K
4 more codes
92250 <1% 522 $15K
92202 <1% 1,206 $11K
92225 <1% 452 $11K
92133 <1% 16 $256.51

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 officialCOHEN, BEN (CHIEF OFFICER)
Same official

Other billing entities under COHEN, BEN

Full network →
ProviderLocationPaid
Retinal Ambulatory Surgery Center of New York, INC.New York, NY$2.69M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.