Retina Specialists PLLC

Retina Specialists PLLC was paid $182K by Medicaid between Jan 2018 and Dec 2018, across 16 billing codes. Its largest line is G8427, Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications — 15% of everything it billed.

33Billing provider infoRETINA SPECIALISTS PLLC
BRIDGEPORT, WV 26330

33aNPI1902004427assigned 07/05/2007

33bProvider typeOphthalmology Physician

28Total paid$182K

24GClaims2,467

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Ophthalmology Physician providers in West Virginia

Rank by total paid#9 of 27

Median peer was paid$73K

This provider vs. median2.5×

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	2,467	$182K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	15%	387	334	$28K
92134		15%	390	329	$28K
1036F		7.8%	180	152	$14K
67028	Intravitreal injection of a pharmacologic agent	7.7%	153	140	$14K
J9035	Injection, bevacizumab, 10 mg	7.2%	149	136	$13K
2022F		6.4%	166	136	$12K
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	6.2%	150	124	$11K
2026F		5.9%	149	122	$11K
2024F		5.9%	149	122	$11K
G9903	Patient screened for tobacco use and identified as a tobacco non-user	4.5%	128	116	$8K
5010F		4.3%	100	82	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.8%	99	90	$7K

4 more codes

92226		2.8%	89	$5K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.5%	77	$5K
G9974	Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity	2.1%	53	$4K
4177F		2.0%	48	$4K

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 officialCONDAX, GEORGE (PRESIDENT)