Retina Center PA

Retina Center PA was paid $1.94M by Medicaid between Jan 2018 and Dec 2021, across 29 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 27% of everything it billed.

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	17,144	$94K
2019	21,119	$579K
2020	17,224	$541K
2021	18,299	$730K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	27%	10,624	9,415	$526K
J9035	Injection, bevacizumab, 10 mg	19%	11,049	7,808	$374K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	6,517	5,873	$365K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	17%	8,729	7,711	$326K
92134		16%	17,393	15,451	$307K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.0%	234	225	$20K
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%	96	95	$11K
92250		<1%	303	290	$8K
J3590	Unclassified biologics	<1%	153	120	$6K
92020		<1%	169	165	$2K
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	2,271	1,794	$0.04
2024F		<1%	704	662	$0.01

17 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	3,303	$0.01
2026F		<1%	715	$0.01
2022F		<1%	688	$0.01
4040F		<1%	3,718	$0.01
5010F		<1%	478	$0.01
1036F		<1%	2,723	$0.01
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	<1%	478	$0.01
G9744	Patient not eligible due to active diagnosis of hypertension	0%	893	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	171	$0.00
92225		0%	27	$0.00
G8482	Influenza immunization administered or previously received	0%	1,645	$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%	22	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	37	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	13	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	598	$0.00
4177F		0%	22	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	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 officialBHAVSAR, ABDHISH (PRESIDENT)