Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Houston Retina Associates PA

Houston Retina Associates PA was paid $559K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 41% of everything it billed.

33Billing provider infoHOUSTON RETINA ASSOCIATES PA
HOUSTON, TX 77074
33aNPI1942347570assigned 01/31/2007
33bProvider typeOphthalmology Physician
28Total paid$559K
24GClaims16,376
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#19 of 231
Median peer was paid$16K
This provider vs. median36×

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$10K$20K$30K2018201920202021202220232024
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
20182,756$43K
20192,451$33K
20201,796$34K
20212,933$142K
20222,150$120K
20232,819$135K
2024incomplete1,471$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 41% 348 340 $228K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 5,142 4,697 $186K
92134 15% 6,080 5,560 $82K
67028 Intravitreal injection of a pharmacologic agent 9.2% 2,346 2,228 $51K
J9035 Injection, bevacizumab, 10 mg <1% 259 250 $5K
92201 <1% 214 192 $2K
92250 <1% 66 61 $2K
92202 <1% 307 287 $2K
92226 <1% 1,587 1,091 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 12 $3.20
J7999 Compounded drug, not otherwise classified 0% 15 14 $0.00

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 officialALAPPATT, JOHN (OWNER)