Physician
Mohawk Valley Retina, PLLC
Mohawk Valley Retina, PLLC was paid $926K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 34% of everything it billed.
33Billing provider infoMOHAWK VALLEY RETINA, PLLC
NEW HARTFORD, NY 13413
NEW HARTFORD, NY 13413
33aNPI1972513273assigned 08/09/2006
33bProvider typeOphthalmology Physician
28Total paid$926K
24GClaims9,281
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#118 of 1,085
Median peer was paid$34K
This provider vs. median27×
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 | 148 | $8K | |
| 2019 | 696 | $45K | |
| 2020 | 970 | $69K | |
| 2021 | 1,345 | $111K | |
| 2022 | 1,991 | $139K | |
| 2023 | 2,727 | $396K | |
| 2024incomplete | 1,404 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 34% | 2,805 | 2,631 | $319K |
| J0178 | Injection, aflibercept, 1 mg | 29% | 159 | 148 | $268K |
| J9035 | Injection, bevacizumab, 10 mg | 10% | 1,705 | 1,579 | $95K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.4% | 953 | 931 | $68K |
| 92134 | 6.4% | 1,876 | 1,856 | $59K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.5% | 377 | 377 | $50K |
| 92250 | 4.0% | 1,110 | 1,083 | $37K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.7% | 257 | 257 | $25K |
| 92235 | <1% | 39 | 39 | $4K |
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 officialGIFFORD, MELISSA (OFFICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pulmonary Health Physicians PC | Syracuse, NY | $228K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.