Piedmont Retina Assoc., P.A.

Piedmont Retina Assoc., P.A. was paid $70K by Medicaid between Jan 2018 and Jun 2021, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 62% of everything it billed.

33Billing provider infoPIEDMONT RETINA ASSOC., P.A.
GREENVILLE, SC 29601

33aNPI1841480399assigned 07/31/2007

33bProvider typeOphthalmology Physician

28Total paid$70K

24GClaims1,367

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Ophthalmology Physician providers in South Carolina

Rank by total paid#19 of 64

Median peer was paid$15K

This provider vs. median4.6×

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	334	$14K
2019	367	$22K
2020	486	$24K
2021	180	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	62%	941	820	$44K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	289	153	$15K
67028	Intravitreal injection of a pharmacologic agent	13%	98	63	$9K
99253		1.5%	12	12	$1K
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%	13	12	$542.80
92134		<1%	14	13	$369.74

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 officialMCLANE, NICK (PRESIDENT)