RETINA VITREOUS ASSOCIATES INC
NPI: 1922073030
· TOLEDO, OH 43615
· Ophthalmology Physician
· NPI assigned 02/22/2006
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | KALUCKI, LYNDA (ADMINISTRATOR) |
| NPI Enumeration Date | 02/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,691 |
$40K |
| 2019 |
1,984 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J0178 |
Injection, aflibercept, 1 mg |
77 |
53 |
$71K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,049 |
872 |
$51K |
| 92134 |
|
3,219 |
2,865 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
179 |
173 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
127 |
116 |
$1K |
| 92250 |
|
24 |
24 |
$533.84 |