Retina Specialists Northwest, PLLC

Retina Specialists Northwest, PLLC was paid $1.20M by Medicaid between Jan 2018 and Nov 2023, across 14 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 82% of everything it billed.

33Billing provider infoRETINA SPECIALISTS NORTHWEST, PLLC
FEDERAL WAY, WA 98003

33aNPI1992040240assigned 11/27/2012

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$1.20M

24GClaims9,336

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in Washington

Rank by total paid#2 of 11

Median peer was paid$1K

This provider vs. median959×

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	2,365	$174K
2019	1,912	$169K
2020	1,306	$270K
2021	1,697	$270K
2022	1,149	$205K
2023	907	$116K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	82%	886	772	$991K
67028	Intravitreal injection of a pharmacologic agent	5.1%	2,078	1,765	$62K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.1%	906	794	$37K
92134		2.5%	2,513	2,234	$30K
92250		1.7%	1,268	1,214	$20K
J9035	Injection, bevacizumab, 10 mg	1.5%	372	267	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	519	502	$17K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.0%	297	287	$12K
92242		<1%	100	100	$9K
92225		<1%	254	130	$2K
92235		<1%	60	58	$2K
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	<1%	14	13	$1K

2 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	51	$927.85
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	18	$361.55

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 officialMYERS POWELL, BRENDA (PRESIDENT)