Physician
Retina Consultants INC
Retina Consultants INC was paid $3.21M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 39% of everything it billed.
33Billing provider infoRETINA CONSULTANTS INC
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1780765354assigned 10/18/2006
33bProvider typeOphthalmology Physician
28Total paid$3.21M
24GClaims19,747
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Rhode Island
Rank by total paid#1 of 31
Median peer was paid$22K
This provider vs. median145×
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 | 1,693 | $173K | |
| 2019 | 1,626 | $195K | |
| 2020 | 1,143 | $128K | |
| 2021 | 2,155 | $293K | |
| 2022 | 3,469 | $447K | |
| 2023 | 5,156 | $970K | |
| 2024incomplete | 4,505 | $1.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 39% | 1,545 | 1,267 | $1.25M |
| 67028 | Intravitreal injection of a pharmacologic agent | 35% | 4,505 | 3,720 | $1.12M |
| 92134 | 18% | 8,961 | 7,878 | $588K | |
| J9035 | Injection, bevacizumab, 10 mg | 2.4% | 1,354 | 1,160 | $76K |
| 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 | 2.1% | 925 | 895 | $67K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 629 | 599 | $34K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 1,009 | 852 | $34K |
| 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% | 415 | 406 | $21K |
| 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 | <1% | 162 | 157 | $17K |
| 76512 | <1% | 30 | 28 | $2K | |
| 92201 | <1% | 98 | 97 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $935.70 |
1 more codes
| 92202 | <1% | 102 | $720.46 |
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 officialREGO, EDWINA (MANAGER)