Physician
Retina Consultants, LLC
Retina Consultants, LLC was paid $321K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92134, — 39% of everything it billed.
33Billing provider infoRETINA CONSULTANTS, LLC
BRENTWOOD, MO 63144
BRENTWOOD, MO 63144
33aNPI1700175395assigned 04/04/2011
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$321K
24GClaims16,812
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Missouri
Rank by total paid#2 of 11
Median peer was paid$11K
This provider vs. median28×
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 | 1,742 | $17K | |
| 2019 | 1,885 | $22K | |
| 2020 | 1,806 | $20K | |
| 2021 | 2,466 | $33K | |
| 2022 | 2,404 | $41K | |
| 2023 | 2,561 | $70K | |
| 2024incomplete | 3,948 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92134 | 39% | 9,823 | 8,800 | $126K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 32% | 1,752 | 1,546 | $103K |
| 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 | 8.7% | 644 | 582 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 544 | 486 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 422 | 383 | $15K |
| 92226 | 3.0% | 1,181 | 1,006 | $10K | |
| 92201 | 2.7% | 859 | 786 | $9K | |
| 92202 | 1.9% | 1,178 | 1,035 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.7% | 302 | 252 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $1K |
| 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% | 15 | 12 | $511.79 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 80 | 79 | $57.94 |
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 officialDEISS, STACY (CREDENTIALING SPECIALIST)