Physician
New England Retina Consultants, PC
New England Retina Consultants, PC was paid $2.58M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 40% of everything it billed.
33Billing provider infoNEW ENGLAND RETINA CONSULTANTS, PC
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1871659540assigned 12/28/2006
33bProvider typeOphthalmology Physician
28Total paid$2.58M
24GClaims43,602
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Massachusetts
Rank by total paid#5 of 203
Median peer was paid$18K
This provider vs. median145×
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 | 5,840 | $173K | |
| 2019 | 5,793 | $363K | |
| 2020 | 5,062 | $212K | |
| 2021 | 5,517 | $199K | |
| 2022 | 6,550 | $395K | |
| 2023 | 7,325 | $607K | |
| 2024incomplete | 7,515 | $635K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 40% | 1,188 | 1,129 | $1.05M |
| 92134 | 13% | 18,965 | 16,243 | $334K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 13% | 9,390 | 8,905 | $328K |
| J2778 | Injection, ranibizumab, 0.1 mg | 9.6% | 280 | 243 | $247K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.3% | 3,651 | 3,609 | $216K |
| J9035 | Injection, bevacizumab, 10 mg | 8.1% | 5,021 | 4,577 | $209K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 2,885 | 2,784 | $112K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 1,443 | 1,397 | $41K |
| 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% | 250 | 250 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 232 | 230 | $15K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | <1% | 16 | 12 | $13K |
| 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 | <1% | 91 | 87 | $3K |
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 officialLAM, ANDREW (OWNER)