Physician
Retina Consultants of P.R.
Retina Consultants of P.R. was paid $1.71M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 28% of everything it billed.
33Billing provider infoRETINA CONSULTANTS OF P.R.
SAN JUAN, PR 00917
SAN JUAN, PR 00917
33aNPI1932119922assigned 08/09/2006
33bProvider typeOphthalmology Physician
28Total paid$1.71M
24GClaims36,061
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#9 of 141
Median peer was paid$163K
This provider vs. median11×
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 | 2,998 | $67K | |
| 2019 | 3,760 | $76K | |
| 2020 | 3,346 | $92K | |
| 2021 | 3,985 | $137K | |
| 2022 | 6,887 | $320K | |
| 2023 | 8,883 | $564K | |
| 2024incomplete | 6,202 | $458K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 28% | 3,849 | 3,191 | $476K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 6,206 | 5,211 | $324K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 4,063 | 3,571 | $254K |
| 92134 | 13% | 8,705 | 7,768 | $218K | |
| 67228 | 7.6% | 251 | 222 | $131K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.6% | 646 | 621 | $61K |
| 92202 | 2.7% | 3,632 | 3,211 | $47K | |
| 92201 | 2.5% | 1,919 | 1,796 | $43K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 588 | 560 | $42K |
| C9257 | Injection, bevacizumab, 0.25 mg | 1.6% | 579 | 498 | $27K |
| J9035 | Injection, bevacizumab, 10 mg | 1.0% | 903 | 812 | $17K |
| 92250 | <1% | 542 | 523 | $16K |
8 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 138 | $14K |
| 92002 | <1% | 229 | $10K | |
| 92226 | <1% | 2,910 | $9K | |
| 67210 | <1% | 13 | $6K | |
| 92235 | <1% | 71 | $6K | |
| 92225 | <1% | 617 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 187 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $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 officialTOWNSEND-PICO, WILLIAM (PRESIDENTE)