Physician
Proliance Surgeons, INC., P.S.
Proliance Surgeons, INC., P.S. was paid $583K by Medicaid between Jan 2018 and Aug 2021, across 10 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 50% of everything it billed.
33Billing provider infoPROLIANCE SURGEONS, INC., P.S.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
33aNPI1841568946assigned 12/05/2011
33bProvider typeRetina Specialist (Ophthalmology) Physician
28Total paid$583K
24GClaims16,166
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Retina Specialist (Ophthalmology) Physician providers in Washington
Rank by total paid#3 of 11
Median peer was paid$1K
This provider vs. median464×
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 | 3,380 | $58K | |
| 2019 | 3,223 | $82K | |
| 2020 | 4,626 | $256K | |
| 2021 | 4,937 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 50% | 309 | 289 | $290K |
| 92134 | 19% | 9,559 | 8,942 | $113K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 15% | 3,312 | 3,080 | $90K |
| 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 | 9.8% | 1,544 | 1,458 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 974 | 933 | $22K |
| J9035 | Injection, bevacizumab, 10 mg | 1.7% | 158 | 142 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 87 | 85 | $1K |
| 92083 | <1% | 14 | 13 | $311.51 | |
| 92133 | <1% | 28 | 25 | $254.53 | |
| 99072 | 0% | 181 | 166 | $0.00 |
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 officialKLEISLE, LAURA (CHIEF RISK OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Proliance Surgeons, INC., P.S. | Seattle, WA | $24K |
| Proliance Surgeons INC., P.S. | Seattle, WA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.