Southwest Retina Consultants, P.A.
Southwest Retina Consultants, P.A. was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoSOUTHWEST RETINA CONSULTANTS, P.A.
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1780797431assigned 08/16/2006
33bProvider typeSpecialist
28Total paid$1.56M
24GClaims27,810
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#30 of 382
Median peer was paid$29K
This provider vs. median54×
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 | 3,947 | $244K | |
| 2019 | 3,492 | $184K | |
| 2020 | 2,809 | $158K | |
| 2021 | 5,182 | $380K | |
| 2022 | 4,499 | $208K | |
| 2023 | 4,324 | $201K | |
| 2024incomplete | 3,557 | $182K |
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% | 9,133 | 8,719 | $358K |
| J0178 | Injection, aflibercept, 1 mg | 21% | 507 | 489 | $328K |
| J2778 | Injection, ranibizumab, 0.1 mg | 21% | 395 | 373 | $320K |
| 67028 | Intravitreal injection of a pharmacologic agent | 17% | 6,776 | 6,324 | $271K |
| 92250 | 16% | 10,469 | 9,771 | $246K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.2% | 337 | 293 | $18K |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | <1% | 16 | 16 | $10K |
| 92134 | <1% | 83 | 75 | $2K | |
| 92235 | <1% | 39 | 37 | $2K | |
| 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 | <1% | 17 | 16 | $1K |
| 92225 | <1% | 23 | 12 | $236.88 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | 15 | $111.58 |
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 officialURIAS, AIDA (MANAGER)