Physician
Virginia Retina Specialists
Virginia Retina Specialists was paid $955K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoVIRGINIA RETINA SPECIALISTS
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
33aNPI1770943565assigned 03/07/2016
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$955K
24GClaims33,206
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Virginia
Rank by total paid#1 of 10
Median peer was paid$22K
This provider vs. median43×
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 | 4,757 | $20K | |
| 2019 | 3,913 | $57K | |
| 2020 | 2,422 | $66K | |
| 2021 | 4,061 | $129K | |
| 2022 | 6,179 | $247K | |
| 2023 | 6,836 | $248K | |
| 2024incomplete | 5,038 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 6,215 | 4,980 | $267K |
| 67028 | Intravitreal injection of a pharmacologic agent | 19% | 3,996 | 2,898 | $178K |
| 92134 | 16% | 8,055 | 6,611 | $155K | |
| J9035 | Injection, bevacizumab, 10 mg | 8.3% | 1,814 | 1,389 | $80K |
| 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 | 7.5% | 1,044 | 895 | $72K |
| J0178 | Injection, aflibercept, 1 mg | 6.8% | 133 | 108 | $65K |
| 92235 | 5.4% | 1,127 | 856 | $52K | |
| 92250 | 4.8% | 3,032 | 2,310 | $46K | |
| 92202 | 1.7% | 2,387 | 2,007 | $16K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 334 | 237 | $13K |
| 92226 | <1% | 1,708 | 675 | $9K | |
| 92201 | <1% | 162 | 131 | $2K |
12 more codes
| 92225 | <1% | 191 | $1K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 622 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 454 | $0.00 |
| 5010F | 0% | 144 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 68 | $0.00 |
| 2024F | 0% | 48 | $0.00 | |
| 2022F | 0% | 203 | $0.00 | |
| 2026F | 0% | 48 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 455 | $0.00 |
| 1036F | 0% | 582 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 237 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 147 | $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 officialMALIK, KHURRAM (AUTHORIZED REP/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Malik Medical Associates USA INC | Jersey City, NJ | $188K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.