RETINA VITREOUS CENTER, PLLC
NPI: 1811284946
· EDMOND, OK 73013
· 152W00000X
$829K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,441 |
$25K |
| 2019 |
1,349 |
$27K |
| 2020 |
1,140 |
$34K |
| 2021 |
1,313 |
$34K |
| 2022 |
2,233 |
$76K |
| 2023 |
4,099 |
$331K |
| 2024 |
3,137 |
$302K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
365 |
358 |
$358K |
| 67028 |
|
4,188 |
4,057 |
$188K |
| 92134 |
|
6,683 |
6,450 |
$121K |
| J9035 |
Bevacizumab injection |
1,493 |
1,462 |
$78K |
| 92014 |
|
1,442 |
1,426 |
$57K |
| 99213 |
|
215 |
212 |
$12K |
| 99214 |
|
94 |
94 |
$7K |
| 92250 |
|
153 |
153 |
$3K |
| 99204 |
|
28 |
28 |
$3K |
| 99203 |
|
12 |
12 |
$941.25 |
| 92012 |
|
13 |
12 |
$410.96 |
| 92201 |
|
26 |
26 |
$348.42 |