SOUTHEASTERN RETINA ASSOCIATES, P.C.
NPI: 1932370145
· KINGSPORT, TN 37660
· Ophthalmology Physician
· NPI assigned 03/14/2008
$1.98M
Total Medicaid Paid
Provider Details
| Authorized Official | LAVERGHETTA, ANDREW (CEO) |
| NPI Enumeration Date | 03/14/2008 |
Related Entities
Other providers sharing the same authorized official: LAVERGHETTA, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,080 |
$90K |
| 2019 |
7,886 |
$166K |
| 2020 |
7,129 |
$187K |
| 2021 |
8,486 |
$325K |
| 2022 |
9,381 |
$277K |
| 2023 |
8,994 |
$474K |
| 2024 |
8,449 |
$460K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
|
16,426 |
12,022 |
$748K |
| J0178 |
Injection, aflibercept, 1 mg |
577 |
337 |
$582K |
| J9035 |
Injection, bevacizumab, 10 mg |
14,091 |
8,593 |
$317K |
| 92134 |
|
20,625 |
16,221 |
$253K |
| 99214 |
|
880 |
694 |
$28K |
| 99213 |
|
1,307 |
915 |
$24K |
| 92014 |
|
712 |
546 |
$20K |
| 92202 |
|
499 |
398 |
$2K |
| 92250 |
|
163 |
121 |
$2K |
| 99204 |
|
53 |
38 |
$2K |
| 92235 |
|
43 |
31 |
$891.93 |
| 92012 |
|
29 |
26 |
$734.25 |