Physician
Retina Institute of the Carolinas
Retina Institute of the Carolinas was paid $860K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 34% of everything it billed.
33Billing provider infoRETINA INSTITUTE OF THE CAROLINAS
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1861433013assigned 06/09/2006
33bProvider typeOphthalmology Physician
28Total paid$860K
24GClaims28,444
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in South Carolina
Rank by total paid#10 of 64
Median peer was paid$15K
This provider vs. median56×
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 | 4,459 | $67K | |
| 2019 | 3,583 | $74K | |
| 2020 | 3,087 | $99K | |
| 2021 | 4,055 | $175K | |
| 2022 | 4,514 | $195K | |
| 2023 | 4,872 | $113K | |
| 2024incomplete | 3,874 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 34% | 7,980 | 4,212 | $293K |
| J2778 | Injection, ranibizumab, 0.1 mg | 33% | 896 | 418 | $284K |
| 92134 | 11% | 12,144 | 7,195 | $91K | |
| J9035 | Injection, bevacizumab, 10 mg | 7.1% | 2,703 | 1,334 | $61K |
| 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 | 6.0% | 2,153 | 1,332 | $52K |
| J0178 | Injection, aflibercept, 1 mg | 4.8% | 93 | 56 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,380 | 848 | $24K |
| 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 | 1.4% | 210 | 149 | $12K |
| 92250 | <1% | 98 | 68 | $2K | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 52 | 41 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 161 | 116 | $0.00 |
| 5010F | 0% | 68 | 53 | $0.00 |
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 officialSAMIY, NASROLLAH (PRESIDENT)