Physician
Retinal & Ophthalmic Consultants, P.C.
Retinal & Ophthalmic Consultants, P.C. was paid $771K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 64% of everything it billed.
33Billing provider infoRETINAL & OPHTHALMIC CONSULTANTS, P.C.
NORTHFIELD, NJ 08225
NORTHFIELD, NJ 08225
33aNPI1750356481assigned 02/17/2006
33bProvider typeOphthalmology Physician
28Total paid$771K
24GClaims13,750
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#23 of 213
Median peer was paid$20K
This provider vs. median39×
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 | 2,045 | $133K | |
| 2019 | 1,958 | $154K | |
| 2020 | 1,418 | $71K | |
| 2021 | 1,615 | $103K | |
| 2022 | 2,388 | $113K | |
| 2023 | 2,586 | $162K | |
| 2024incomplete | 1,740 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 64% | 648 | 493 | $494K |
| 92134 | 11% | 5,581 | 5,142 | $84K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 9.1% | 1,371 | 1,155 | $70K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.5% | 2,280 | 2,159 | $65K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.7% | 845 | 825 | $28K |
| 92020 | 1.2% | 829 | 815 | $9K | |
| 92133 | 1.1% | 682 | 672 | $9K | |
| 92202 | <1% | 1,195 | 1,171 | $5K | |
| 92083 | <1% | 206 | 199 | $3K | |
| 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% | 60 | 59 | $1K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 13 | 12 | $992.68 |
| 92226 | <1% | 25 | 13 | $438.83 |
1 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $364.00 |
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 officialPROIETTO, KATHY (OFFICE MANAGER)