Physician
Vitreous Retina Macula Specialists of NJ
Vitreous Retina Macula Specialists of NJ was paid $1.76M by Medicaid between Jan 2018 and Oct 2022, across 38 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoVITREOUS RETINA MACULA SPECIALISTS OF NJ
MILLBURN, NJ 07041
MILLBURN, NJ 07041
33aNPI1760788996assigned 02/05/2011
33bProvider typeOphthalmology Physician
28Total paid$1.76M
24GClaims58,545
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Ophthalmology Physician providers in New Jersey
Rank by total paid#8 of 213
Median peer was paid$20K
This provider vs. median90×
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 | 17,068 | $505K | |
| 2019 | 17,143 | $440K | |
| 2020 | 10,923 | $390K | |
| 2021 | 9,687 | $345K | |
| 2022 | 3,724 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 7,713 | 7,273 | $396K |
| 67028 | Intravitreal injection of a pharmacologic agent | 15% | 5,269 | 4,555 | $268K |
| 92250 | 12% | 8,436 | 8,124 | $204K | |
| J9035 | Injection, bevacizumab, 10 mg | 11% | 4,220 | 3,178 | $202K |
| 92235 | 7.0% | 2,341 | 2,296 | $123K | |
| 92273 | 5.6% | 1,657 | 1,614 | $98K | |
| 92226 | 4.5% | 7,648 | 3,919 | $79K | |
| 76512 | 4.4% | 1,752 | 1,287 | $77K | |
| 65800 | 4.0% | 892 | 730 | $71K | |
| 92020 | 3.7% | 5,354 | 5,169 | $65K | |
| 92275 | 2.3% | 566 | 566 | $41K | |
| 92134 | 2.3% | 2,030 | 1,919 | $41K |
26 more codes
| 92225 | 1.4% | 1,704 | $24K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 256 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 188 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 165 | $11K |
| 92201 | <1% | 1,077 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 88 | $6K |
| 67210 | <1% | 13 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 26 | $4K |
| J0178 | Injection, aflibercept, 1 mg | <1% | 14 | $3K |
| 92202 | <1% | 859 | $1K | |
| 99051 | <1% | 40 | $82.14 | |
| 1036F | <1% | 954 | $15.46 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 190 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 714 | $0.00 |
| 2019F | 0% | 14 | $0.00 | |
| 4177F | 0% | 54 | $0.00 | |
| 2026F | 0% | 406 | $0.00 | |
| 4040F | 0% | 653 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,025 | $0.00 |
| 2024F | 0% | 418 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 748 | $0.00 |
| 5010F | 0% | 200 | $0.00 | |
| 2021F | 0% | 166 | $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% | 55 | $0.00 |
| 2022F | 0% | 414 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 226 | $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 officialDOSHI, VATSAL (PHYSICIAN)