Retina Consultants San Diego INC

Retina Consultants San Diego INC was paid $888K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 60% of everything it billed.

33Billing provider infoRETINA CONSULTANTS SAN DIEGO INC
POWAY, CA 92064

33aNPI1790736098assigned 05/12/2006

33bProvider typeOphthalmology Physician

28Total paid$888K

24GClaims9,556

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#86 of 759

Median peer was paid$35K

This provider vs. median25×

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	349	$19K
2019	538	$28K
2020	1,441	$108K
2021	1,621	$119K
2022	1,867	$193K
2023	2,813	$312K
2024incomplete	927	$109K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	60%	2,469	2,245	$529K
J0178	Injection, aflibercept, 1 mg	15%	127	121	$133K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.5%	2,049	1,912	$75K
92134		7.3%	3,635	3,218	$65K
J2777	Injection, faricimab-svoa, 0.1 mg	4.9%	43	43	$44K
92250		1.9%	642	614	$17K
J9035	Injection, bevacizumab, 10 mg	1.1%	150	127	$10K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	215	209	$8K
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%	148	119	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	62	53	$904.82
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%	16	16	$352.32

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 officialING, JOCELIN (PRACTICE ADMINISTRATOR)