VITREO RETINAL SURGERY PLLC
NPI: 1891783965
· EDINA, MN 55435
· 207WX0107X
$27.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,155 |
$552K |
| 2019 |
23,704 |
$2.75M |
| 2020 |
21,794 |
$3.31M |
| 2021 |
24,909 |
$4.03M |
| 2022 |
42,169 |
$5.36M |
| 2023 |
39,650 |
$6.56M |
| 2024 |
29,617 |
$5.20M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
8,782 |
7,973 |
$14.10M |
| J2778 |
Ranibizumab injection |
4,247 |
3,970 |
$4.85M |
| 67028 |
|
45,644 |
40,823 |
$2.80M |
| 92134 |
|
71,698 |
63,397 |
$1.44M |
| 92012 |
|
27,187 |
24,336 |
$1.16M |
| Q5128 |
Inj, cimerli, 0.1 mg |
1,455 |
1,269 |
$1.06M |
| 92014 |
|
15,351 |
13,920 |
$929K |
| J9035 |
Bevacizumab injection |
19,806 |
17,427 |
$929K |
| 99204 |
|
2,088 |
1,933 |
$173K |
| 92250 |
|
5,728 |
4,748 |
$107K |
| 92235 |
|
1,570 |
1,473 |
$91K |
| J3590 |
Unclassified biologics |
68 |
49 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
459 |
280 |
$30K |
| 92004 |
|
298 |
283 |
$28K |
| 67228 |
|
116 |
95 |
$19K |
| 76512 |
|
69 |
65 |
$2K |
| 92020 |
|
118 |
115 |
$2K |
| 1036F |
|
41 |
38 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
41 |
38 |
$0.00 |
| G8397 |
Dil macula/fundus exam/w doc |
14 |
13 |
$0.00 |
| G8482 |
Flu immunize order/admin |
39 |
35 |
$0.00 |
| 2024F |
|
17 |
16 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
15 |
15 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
45 |
40 |
$0.00 |
| 4040F |
|
52 |
46 |
$0.00 |
| 2026F |
|
19 |
17 |
$0.00 |
| 5010F |
|
14 |
13 |
$0.00 |
| 2022F |
|
17 |
16 |
$0.00 |