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THE RETINA GROUP OF WASHINGTON, PLLC

Ophthalmology·GREENBELT, MD·NPI: 1225001654Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.6M

$19,612,329

Total Claims

369K

Beneficiaries

298K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$511K
+67%
2019
$853K
+56%
2020
$1.3M
+78%
2021
$2.4M
+85%
2022
$4.4M
+31%
2023
$5.8M
-25%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 53% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$10.4M

15K claims · 53.3%

Your Cost: $684.93/claim|Median: $730.09
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$2.6M

77K claims · 13.5%

Your Cost: $34.21/claim|Median: $47.08
0.7× median
92134Normal range

$1.7M

107K claims · 8.8%

Your Cost: $16.17/claim|Median: $15.46
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.2M

38K claims · 6.0%

Your Cost: $31.26/claim|Median: $58.82
0.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.1M

18K claims · 5.4%

Your Cost: $58.92/claim|Median: $53.41
1.1× median
J2778Normal range

$482K

1,880 claims · 2.5%

Your Cost: $256.52/claim|Median: $403.28
0.6× median
92202Normal range

$469K

56K claims · 2.4%

Your Cost: $8.39/claim|Median: $7.06
1.2× median
J0177Normal range

$343K

485 claims · 1.8%

Your Cost: $708.17/claim|Median: $869.28
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$317K

4,635 claims · 1.6%

Your Cost: $68.38/claim|Median: $84.03
0.8× median
J2777Normal range

$149K

295 claims · 0.8%

Your Cost: $504.67/claim|Median: $858.80
0.6× median
J3590Top 25%

Unclassified biologic drug injection

$138K

202 claims · 0.7%

Your Cost: $681.42/claim|Median: $24.77
27.5× median
92201Normal range

$122K

7,474 claims · 0.6%

Your Cost: $16.38/claim|Median: $12.88
1.3× median
J9035Normal range

Injection, bevacizumab, 10 mg

$115K

3,930 claims · 0.6%

Your Cost: $29.17/claim|Median: $43.71
0.7× median
92250Normal range

Fundus photography with interpretation and report

$101K

4,223 claims · 0.5%

Your Cost: $23.83/claim|Median: $27.95
0.9× median
92235Normal range

$83K

2,893 claims · 0.4%

Your Cost: $28.58/claim|Median: $42.71
0.7× median
J7999Top 10%

$78K

1,259 claims · 0.4%

Your Cost: $61.61/claim|Median: $6.94
8.9× median
92226Normal range

$60K

25K claims · 0.3%

Your Cost: $2.39/claim|Median: $12.45
0.2× median
Q5128Normal range

$22K

58 claims · 0.1%

Your Cost: $379.76/claim|Median: $502.53
0.8× median
67228Normal range

$12K

79 claims · 0.1%

Your Cost: $154.03/claim|Median: $256.67
0.6× median
92225Normal range

$12K

2,457 claims · 0.1%

Your Cost: $4.90/claim|Median: $17.59
0.3× median
76512Normal range

$9K

794 claims · 0.0%

Your Cost: $11.65/claim|Median: $43.41
0.3× median
92133Normal range

$8K

455 claims · 0.0%

Your Cost: $16.58/claim|Median: $19.09
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$7K

339 claims · 0.0%

Your Cost: $22.03/claim|Median: $59.72
0.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6K

214 claims · 0.0%

Your Cost: $29.41/claim|Median: $37.81
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2K

335 claims · 0.0%

Your Cost: $5.79/claim|Median: $38.23
0.2× median
92287Normal range

$2K

68 claims · 0.0%

Your Cost: $24.14/claim|Median: $34.62
0.7× median
92083Normal range

Visual field exam, extended testing, bilateral

$1K

146 claims · 0.0%

Your Cost: $9.81/claim|Median: $29.82
0.3× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1K

28 claims · 0.0%

Your Cost: $49.00/claim|Median: $57.85
0.8× median
92015Normal range

Determination of refractive state

$678

143 claims · 0.0%

Your Cost: $4.74/claim|Median: $10.36
0.5× median
92020Top 25%

$265

14 claims · 0.0%

Your Cost: $18.90/claim|Median: $12.46
1.5× median
92136Normal range

$145

27 claims · 0.0%

Your Cost: $5.36/claim|Median: $18.31
0.3× median
99426Normal range

$0

208 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.06
99427Normal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.64

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