Retina Specialists of New Jersey LLC

Retina Specialists of New Jersey LLC was paid $33K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92250, — 33% of everything it billed.

33Billing provider infoRETINA SPECIALISTS OF NEW JERSEY LLC
PHILLIPSBURG, NJ 08865

33aNPI1992740203assigned 06/19/2006

33bProvider typeOphthalmology Physician

28Total paid$33K

24GClaims1,326

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#97 of 213

Median peer was paid$20K

This provider vs. median1.7×

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	65	$1K
2020	72	$2K
2021	411	$11K
2022	380	$8K
2023	371	$9K
2024incomplete	27	$975.72

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92250		33%	414	395	$11K
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	28%	351	331	$9K
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	12%	80	76	$4K
92134		12%	326	307	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	74	69	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.0%	36	35	$980.06
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.1%	17	16	$687.16
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.8%	14	12	$607.37
92235		1.4%	14	13	$456.43

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 officialLALIN, SEAN (MEDICAL DIRECTOR)