Physician
Colorado Retina Associates, PLLC
Colorado Retina Associates, PLLC was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 39% of everything it billed.
33Billing provider infoCOLORADO RETINA ASSOCIATES, PLLC
LAKEWOOD, CO 80228
LAKEWOOD, CO 80228
33aNPI1790876159assigned 09/28/2006
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$1.04M
24GClaims25,061
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Colorado
Rank by total paid#1 of 13
Median peer was paid$46K
This provider vs. median23×
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 | 5,961 | $248K | |
| 2019 | 8,220 | $347K | |
| 2020 | 890 | $47K | |
| 2021 | 2,775 | $122K | |
| 2022 | 2,566 | $201K | |
| 2023 | 2,347 | $66K | |
| 2024incomplete | 2,302 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 39% | 5,268 | 4,432 | $406K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 4,628 | 3,964 | $270K |
| 92134 | 19% | 12,610 | 10,572 | $200K | |
| J0178 | Injection, aflibercept, 1 mg | 10.0% | 166 | 146 | $104K |
| 92250 | 3.5% | 1,085 | 974 | $36K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 380 | 312 | $19K |
| 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% | 28 | 24 | $3K |
| 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% | 94 | 85 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 29 | 24 | $2K |
| 92226 | <1% | 170 | 90 | $2K | |
| 92235 | <1% | 13 | 13 | $952.96 | |
| 2024F | 0% | 198 | 191 | $0.00 |
3 more codes
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 officialESPINOZA, KYLIE (CREDENTIALING SPECIALIST)
Parent organizationCOLORADO RETINA ASSOCIATES, PLLC
| Provider | Location | Paid |
|---|---|---|
| Colorado Retina Associates, PLLC | Lafayette, CO | $242K |
| Colorado Retina Associates, PLLC | Lakewood, CO | $89K |
| Colorado Retina Associates, PLLC | Parker, CO | $46K |
| Colorado Retina Associates, PLLC | Golden, CO | $22K |
| Colorado Retina Associates, PLLC | Denver, CO | $238.71 |
| Colorado Retina Associates, PLLC | Frisco, CO | $188.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.