Physician
Retina Consultant, PLLC
Retina Consultant, PLLC was paid $949K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 47% of everything it billed.
33Billing provider infoRETINA CONSULTANT, PLLC
SLINGERLANDS, NY 12159
SLINGERLANDS, NY 12159
33aNPI1841274016assigned 12/01/2005
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$949K
24GClaims10,251
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in New York
Rank by total paid#2 of 60
Median peer was paid$52K
This provider vs. median18×
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 | 55 | $4K | |
| 2019 | 241 | $13K | |
| 2020 | 1,008 | $60K | |
| 2021 | 2,244 | $238K | |
| 2022 | 2,489 | $280K | |
| 2023 | 2,830 | $289K | |
| 2024incomplete | 1,384 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 47% | 329 | 272 | $442K |
| 92134 | 18% | 5,777 | 5,261 | $173K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 1,772 | 1,693 | $147K |
| 67028 | Intravitreal injection of a pharmacologic agent | 10% | 1,226 | 1,029 | $96K |
| 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 | 7.4% | 630 | 602 | $70K |
| 92250 | 1.4% | 430 | 421 | $14K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 27 | 27 | $4K |
| 76512 | <1% | 33 | 26 | $1K | |
| 92235 | <1% | 12 | 12 | $1K | |
| 92225 | <1% | 15 | 12 | $330.55 |
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 officialFALK, NAOMI (OWNER)