Physician
Retina Specialists of Michigan PC
Retina Specialists of Michigan PC was paid $5.50M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 74% of everything it billed.
33Billing provider infoRETINA SPECIALISTS OF MICHIGAN PC
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1801048699assigned 10/13/2008
33bProvider typeOphthalmology Physician
28Total paid$5.50M
24GClaims42,601
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#2 of 106
Median peer was paid$51K
This provider vs. median108×
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 | 3,530 | $253K | |
| 2019 | 3,831 | $310K | |
| 2020 | 4,686 | $547K | |
| 2021 | 6,464 | $808K | |
| 2022 | 7,400 | $1.12M | |
| 2023 | 8,846 | $1.37M | |
| 2024incomplete | 7,844 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 74% | 3,402 | 3,280 | $4.05M |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.5% | 8,485 | 8,076 | $359K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 5,010 | 4,779 | $270K |
| 92134 | 4.0% | 13,781 | 13,153 | $220K | |
| J3590 | Unclassified biologics | 3.4% | 2,415 | 2,321 | $186K |
| 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 | 1.6% | 1,204 | 1,168 | $91K |
| J9035 | Injection, bevacizumab, 10 mg | 1.6% | 1,456 | 1,425 | $87K |
| 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 | 1.5% | 1,548 | 1,484 | $85K |
| 92250 | 1.4% | 3,935 | 3,756 | $77K | |
| 92235 | <1% | 893 | 882 | $46K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 299 | 296 | $23K |
| 67228 | <1% | 72 | 62 | $12K |
5 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 officialDUHR, HEATHER (EXECUTIVE DIRECTOR)