Virginia Retina Consultants, PLC

Virginia Retina Consultants, PLC was paid $320K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 61% of everything it billed.

33Billing provider infoVIRGINIA RETINA CONSULTANTS, PLC
CHARLOTTESVILLE, VA 22911

33aNPI1700976834assigned 10/12/2006

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$320K

24GClaims6,457

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in Virginia

Rank by total paid#3 of 10

Median peer was paid$22K

This provider vs. median14×

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	648	$5K
2019	798	$10K
2020	540	$10K
2021	609	$9K
2022	1,359	$73K
2023	1,726	$156K
2024incomplete	777	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	61%	249	185	$195K
67028	Intravitreal injection of a pharmacologic agent	17%	1,256	933	$54K
92134		16%	3,093	2,339	$50K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.5%	420	274	$11K
92202		2.1%	936	804	$7K
92226		<1%	472	180	$2K
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%	31	29	$1K

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 officialNANDA, MOHIT (OWNER)

Parent organizationMONTICELLO COMMUNITY SURGERY CENTER