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    OpenPayerNPI Medicare & MedicaidAssociated Retina Consultants, Ltd.
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    Associated Retina Consultants, Ltd. — Billing Profile & Reimbursement Data

    NPI 1164633160 · Phoenix, AZ · Retina Specialist (Ophthalmology) Physician

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    Associated Retina Consultants, Ltd. is a retina specialist (ophthalmology) physician provider located in Phoenix, Arizona. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAssociated Retina Consultants, Ltd.
    Address1750 E Glendale Ave
    CityPhoenix
    StateAZ
    ZIP85020
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 24, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.23,720$70$1.6M
    J9035Injection, bevacizumab, 10 mg15,560$80$1.3M
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.46,540$30$1.2M
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…10,500$80$808.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…9,740$50$467.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…2,540$80$203.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,730$50$201.5K
    J2778Injection, ranibizumab, 0.1 mg120$820$98.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,560$40$89.7K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…4,240$20$72.1K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg510240$1,170$1.1M
    J9035Injection, bevacizumab, 10 mg120530$160$369.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…7533,040750$50$343.9K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…13150250$60$293.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…7452,780600$50$267K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.230380$70$266.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.94120170$80$257K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…590380$50$192.2K
    J2778Injection, ranibizumab, 0.1 mg210120$830$142.7K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.170300$20$98.9K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Associated Retina Consultants, Ltd., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen DesouzaAZRetina Specialist (Ophthalmology) Physician$2.5M$0
    Matthew WelchAZRetina Specialist (Ophthalmology) Physician$2.2M$0
    Benjamin BakallAZRetina Specialist (Ophthalmology) Physician$2M$0
    Joseph BryanAZRetina Specialist (Ophthalmology) Physician$1.9M$0
    Rima PatelAZRetina Specialist (Ophthalmology) Physician$1.8M$0
    Henry KwongAZRetina Specialist (Ophthalmology) Physician$1.7M$0
    Alan GordonAZRetina Specialist (Ophthalmology) Physician$1.6M$0
    Anthony DebeusCARetina Specialist (Ophthalmology) Physician$1.6M$0
    Kendra Klein-masciaMAOphthalmology Physician$1.4M$0
    Jaime GaitanAZRetina Specialist (Ophthalmology) Physician$1.3M$0

    Nearby Providers

    Other providers in the same ZIP code as Associated Retina Consultants, Ltd., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    HonorhealthAZGeneral Acute Care Hospital$0$107.2M
    All Valley Home Health Care & Nursing IncAZHome Health Agency$0$55.7M
    Bowie Investment Group IncAZHome Health Agency$0$31.9M
    Gina PalaciosAZNurse Practitioner$27M$0
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$19.6M
    Avista Senior Living Desert Springs, LLCAZAssisted Living Facility$0$17.6M
    Unomed LLCAZCritical Care Medicine (Internal Medicine) Physician$0$15.4M
    Bayada Home Health Care, Inc.AZHome Health Agency$0$10.7M
    Emcare - Pnx Emergency Physicians LLCAZEmergency Medicine Physician$0$9.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Associated Retina Consultants, Ltd. — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona