Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Beachwood › NPI 1912991225
Physician

Retina Associates of Cleveland, INC.

Retina Associates of Cleveland, INC. was paid $11.19M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 77% of everything it billed.

33Billing provider infoRETINA ASSOCIATES OF CLEVELAND, INC.
BEACHWOOD, OH 44122
33aNPI1912991225assigned 09/01/2005
33bProvider typeOphthalmology Physician
28Total paid$11.19M
24GClaims113,459
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Ohio

Rank by total paid#1 of 155
Median peer was paid$10K
This provider vs. median1,076×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
20189,142$184K
201911,880$374K
202013,684$1.34M
202119,575$2.26M
202220,541$2.64M
202323,383$2.76M
2024incomplete15,254$1.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 77% 7,970 6,469 $8.63M
67028 Intravitreal injection of a pharmacologic agent 13% 28,116 22,404 $1.40M
92134 3.3% 44,481 37,811 $374K
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 1.9% 5,889 5,166 $210K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.4% 9,150 7,751 $152K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,544 3,991 $108K
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% 3,836 3,392 $95K
J3590 Unclassified biologics <1% 1,372 868 $53K
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% 876 763 $49K
92250 <1% 2,327 2,020 $44K
J9035 Injection, bevacizumab, 10 mg <1% 380 271 $20K
67210 <1% 69 50 $18K
6 more codes
92226 <1% 2,403 $16K
92202 <1% 1,387 $10K
92225 <1% 346 $4K
92235 <1% 96 $2K
92201 <1% 162 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 55 $2K

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 officialLAUGHLIN, NICOLE (DIRECTOR OF REVENUE)