Physician
Retina Associates, PC
Retina Associates, PC was paid $662K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 43% of everything it billed.
33Billing provider infoRETINA ASSOCIATES, PC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1750477188assigned 10/05/2006
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$662K
24GClaims12,005
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Virginia
Rank by total paid#2 of 10
Median peer was paid$22K
This provider vs. median30×
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 | 1,393 | $43K | |
| 2019 | 1,625 | $99K | |
| 2020 | 1,377 | $38K | |
| 2021 | 2,067 | $200K | |
| 2022 | 2,203 | $134K | |
| 2023 | 2,145 | $111K | |
| 2024incomplete | 1,195 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 43% | 360 | 261 | $285K |
| 67028 | Intravitreal injection of a pharmacologic agent | 30% | 3,874 | 3,112 | $196K |
| 92134 | 20% | 6,918 | 5,788 | $135K | |
| J2778 | Injection, ranibizumab, 0.1 mg | 5.6% | 52 | 42 | $37K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 307 | 257 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 67 | 50 | $2K |
| 1036F | <1% | 147 | 120 | $2K | |
| 92202 | <1% | 266 | 222 | $1K | |
| 2022F | <1% | 14 | 12 | $184.75 |
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 officialWAUGH, CRYSTAL (OFFICE MANAGER)