Physician
Retina Group PC
Retina Group PC was paid $3.40M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 19% of everything it billed.
33Billing provider infoRETINA GROUP PC
BRONX, NY 10467
BRONX, NY 10467
33aNPI1962591693assigned 10/12/2006
33bProvider typeOphthalmology Physician
28Total paid$3.40M
24GClaims96,190
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#28 of 1,085
Median peer was paid$34K
This provider vs. median100×
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 | 7,714 | $309K | |
| 2019 | 12,745 | $498K | |
| 2020 | 11,004 | $359K | |
| 2021 | 12,753 | $415K | |
| 2022 | 16,031 | $636K | |
| 2023 | 17,998 | $624K | |
| 2024incomplete | 17,945 | $557K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 14,171 | 12,627 | $639K |
| 92134 | 14% | 20,217 | 18,336 | $474K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 5,988 | 5,870 | $368K |
| 92273 | 9.4% | 4,561 | 4,552 | $319K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.4% | 2,416 | 2,416 | $216K |
| 67228 | 4.3% | 571 | 439 | $145K | |
| 92226 | 3.8% | 6,383 | 4,171 | $127K | |
| 92201 | 3.6% | 9,937 | 8,481 | $122K | |
| 93890 | 3.5% | 1,119 | 1,115 | $118K | |
| 92250 | 3.3% | 3,679 | 3,422 | $113K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 3.2% | 1,668 | 1,448 | $108K |
| 93892 | 3.1% | 1,133 | 1,129 | $104K |
15 more codes
| 92283 | 2.2% | 3,628 | $75K | |
| 92025 | 2.0% | 3,668 | $69K | |
| 92235 | 1.9% | 931 | $66K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.9% | 1,482 | $65K |
| 92145 | 1.8% | 7,505 | $61K | |
| 93886 | 1.8% | 611 | $60K | |
| 67210 | 1.5% | 160 | $51K | |
| 92083 | <1% | 965 | $34K | |
| 92202 | <1% | 4,209 | $29K | |
| 92275 | <1% | 188 | $17K | |
| 92225 | <1% | 553 | $12K | |
| 92020 | <1% | 373 | $5K | |
| 92133 | <1% | 47 | $846.35 | |
| 92002 | <1% | 14 | $747.05 | |
| 92260 | <1% | 13 | $177.00 |
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 officialCHESS, JEREMY (DIRECTOR)