Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThe Retina Group Of Washington, PLLC
    Ask Trek AI about this page

    The Retina Group Of Washington, PLLC — Billing Profile & Reimbursement Data

    NPI 1225001654 · Greenbelt, MD · Ophthalmology Physician

    Customize your policy alerts

    Sign up for The Retina Group Of Washington, PLLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    The Retina Group Of Washington, PLLC is a ophthalmology physician provider located in Greenbelt, Maryland. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Retina Group Of Washington, PLLC
    Address7501 Greenway Center Dr Ste 700
    CityGreenbelt
    StateMD
    ZIP20770
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$19.5M
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg15,250$690$10.4M
    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…77,410$30$2.6M
    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.106,800$20$1.7M
    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.37,850$30$1.2M
    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…18,080$60$1.1M
    J2778Injection, ranibizumab, 0.1 mg1,880$260$483.2K
    92202The 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…55,980$10$447.8K
    J0177Injection, aflibercept hd, 1 mg490$710$343.4K
    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…4,640$70$315.2K
    J2777Injection, faricimab‑svoa, 0.1 mg300$510$149K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg110440$630$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg310320$790$605.7K
    J2778Injection, ranibizumab, 0.1 mg3102,360$260$536.5K
    J0177Injection, aflibercept hd, 1 mg110490$710$343.5K
    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…993,670680$90$310K
    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…2,1713,280610$80$296.1K
    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.130460$40$103K
    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…35930110$100$90.1K
    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.180220$30$82K
    99203The provider sees a new 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 provider…547730110$70$81.9K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Retina Group Of Washington, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Gordon ByrnesVARetina Specialist (Ophthalmology) Physician$4.9M$0
    Daniel BerinsteinMDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Alexander MelamudVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Michael LaiMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    Jordana FeinVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Eric WeichelMDOphthalmology Physician$4.1M$0
    Gayatri ReillyMDRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sundeep KasiVARetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

    Other providers in the same ZIP code as The Retina Group Of Washington, PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pm Pediatrics Of MarylandMDUrgent Care Clinic/Center$0$33.5M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$21.6M
    Advanced Behavioral Health, Inc.MDChild & Adolescent Psychiatry Physician$0$20.2M
    Families First Counseling And Psychiatry, LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Maxim Healthcare Services, Inc.MDHome Health Agency$0$19.2M
    Volunteers Of America Chesapeake & Carolinas, IncMDVoluntary or Charitable Agency$0$16.4M
    Capital HospiceMDCommunity Based Hospice Care Agency$0$15.8M
    Maryland Health Alliance, Inc.MDMental Health Counselor$0$13.1M
    Elites Care LLCMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12.7M
    Neurological Medicine, P.A.MDNeurology Physician$0$9.2M

    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. Maryland Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    The Retina Group Of Washington, PLLC — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland