Active NPI 1942238522 Individual Practitioner Male Practitioner

Dr. Wilfredo C Lara , MD

Ophthalmology • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wilfredo Lara, MD is a certified Ophthalmology practicing in Miami, FL. With approximately 26 years of clinical experience since graduating from University Of Virginia School Of Medicine in 2000, Dr. Lara delivers high-quality medical care to the local community at 351 NW 42ND AVE.

Dr. Lara is affiliated with Retina Macula Specialists Of Miami Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

351 Nw 42nd Ave
Suite 302

Miami, FL 331265683

Telephone 3056438871

Fax 3056438872

Associated Practice Facility / Clinic

🏢 Medicall Diagnostic Services Facility NPI 1548217672

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +2.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

234 Specialists

Practicing in Miami, FL (1686 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lara (26 Years) 26 Yrs

Miami Specialty Average (23.2 Years) 23.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	3,300	14	$73.00	$34.63
92134 Imaging of retina	1,062	384	$84.58	$43.47
67028 Injection of drug into eye	1,019	202	$271.89	$134.39
92012 Established patient problem focused exam of visual system	946	220	$183.08	$95.51
92250 Photography of the retina	612	376	$81.82	$40.08
J7999 Compounded drug, not otherwise classified	595	149	$135.43	$79.18
92014 Established patient complete exam of visual system	308	248	$258.15	$133.72
J0178 Injection, aflibercept, 1 mg	258	27	$1850.00	$830.76
J9999 Not otherwise classified, antineoplastic drugs	211	102	$190.05	$82.86
J9035 Injection, bevacizumab, 10 mg	91	68	$191.21	$69.38
92004 New patient complete exam of visual system	83	83	$305.80	$158.85
76512 Ultrasound of eye disease, growth, or structure	63	43	$126.26	$64.09
67210 Laser destruction of retinal growth, 1 or more sessions	43	35	$1079.16	$564.20
92235 Exam of retinal blood vessels using a special camera after injection of a dye	37	37	$315.10	$174.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	2,760	12	$73.00	$36.59
67028 Injection of drug into eye	1,211	224	$285.45	$130.85
92134 Imaging of retina	1,194	412	$84.26	$41.52
92012 Established patient problem focused exam of visual system	1,166	255	$186.73	$92.67
J7999 Compounded drug, not otherwise classified	903	188	$96.81	$75.13
92250 Photography of the retina	384	247	$78.53	$38.45
J0178 Injection, aflibercept, 1 mg	372	51	$1850.00	$860.07
92014 Established patient complete exam of visual system	274	218	$260.09	$128.82
J9999 Not otherwise classified, antineoplastic drugs	204	98	$99.95	$78.31
92004 New patient complete exam of visual system	104	104	$306.54	$152.84
92235 Exam of retinal blood vessels using a special camera after injection of a dye	48	47	$282.81	$140.32
67210 Laser destruction of retinal growth, 1 or more sessions	28	22	$1093.18	$540.39
76512 Ultrasound of eye disease, growth, or structure	27	21	$106.81	$51.01
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	17	13	$722.88	$356.89
92201 Extended exam of the back part of the eye with retinal drawing	15	15	$51.47	$25.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	1,827	147	$1850.00	$901.75
J2777 Injection, faricimab-svoa, 0.1 mg	1,800	20	$73.00	$37.45
92134 Imaging of retina	1,466	417	$86.00	$42.32
67028 Injection of drug into eye	1,246	224	$281.44	$130.81
92012 Established patient problem focused exam of visual system	709	240	$190.42	$93.18
J7999 Compounded drug, not otherwise classified	317	107	$90.66	$80.68
92014 Established patient complete exam of visual system	306	240	$266.00	$131.26
J2778 Injection, ranibizumab, 0.1 mg	255	31	$760.00	$271.29
92004 New patient complete exam of visual system	117	117	$313.59	$155.29
J3590 Unclassified biologics	54	17	$3568.15	$1440.86
92250 Photography of the retina	50	42	$79.00	$38.64
92235 Exam of retinal blood vessels using a special camera after injection of a dye	47	46	$262.00	$129.70
67210 Laser destruction of retinal growth, 1 or more sessions	27	23	$1107.00	$547.17
76512 Ultrasound of eye disease, growth, or structure	25	21	$111.24	$53.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,145	166	$1850.00	$916.59
67028 Injection of drug into eye	1,387	251	$278.29	$133.44
92134 Imaging of retina	1,287	378	$86.00	$43.54
92012 Established patient problem focused exam of visual system	716	234	$189.22	$95.49
92014 Established patient complete exam of visual system	661	359	$266.00	$133.80
92250 Photography of the retina	379	302	$83.01	$41.46
J7999 Compounded drug, not otherwise classified	360	85	$90.42	$79.09
92004 New patient complete exam of visual system	130	130	$315.00	$158.71
92235 Exam of retinal blood vessels using a special camera after injection of a dye	73	73	$245.00	$123.80
76512 Ultrasound of eye disease, growth, or structure	31	22	$106.32	$53.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	1,650	146	$1850.00	$923.00
67028 Injection of drug into eye	1,317	268	$241.07	$116.61
92134 Imaging of retina	1,089	318	$86.46	$43.58
92012 Established patient problem focused exam of visual system	630	290	$187.76	$93.68
J7999 Compounded drug, not otherwise classified	486	117	$90.74	$56.73
92250 Photography of the retina	444	375	$96.11	$47.51
J2778 Injection, ranibizumab, 0.1 mg	414	19	$760.00	$335.43
92014 Established patient complete exam of visual system	344	293	$265.10	$133.65
93886 Complete ultrasound of within the brain blood flow	139	138	$474.01	$238.68
93890 Ultrasound of within the brain blood flow following medication	139	138	$475.01	$238.70
93892 Ultrasound of within the brain blood flow for blood clots	139	138	$530.95	$117.04
92004 New patient complete exam of visual system	110	110	$314.14	$157.77
92235 Exam of retinal blood vessels using a special camera after injection of a dye	67	66	$215.39	$109.95
76512 Ultrasound of eye disease, growth, or structure	36	29	$121.56	$60.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	1,628	159	$1850.00	$936.38
67028 Injection of drug into eye	1,536	288	$243.21	$115.06
92134 Imaging of retina	1,498	401	$91.35	$42.97
J2778 Injection, ranibizumab, 0.1 mg	1,203	50	$756.84	$354.14
J3490 Unclassified drugs	568	151	$90.00	$45.15
92014 Established patient complete exam of visual system	542	388	$268.09	$131.96
92012 Established patient problem focused exam of visual system	487	299	$189.48	$92.19
92250 Photography of the retina	367	300	$139.74	$52.12
93886 Complete ultrasound of within the brain blood flow	146	145	$480.89	$232.39
93890 Ultrasound of within the brain blood flow following medication	146	145	$484.91	$233.48
93892 Ultrasound of within the brain blood flow for blood clots	146	145	$548.80	$114.56
92004 New patient complete exam of visual system	128	128	$316.16	$156.93
92235 Exam of retinal blood vessels using a special camera after injection of a dye	60	58	$208.60	$94.97
76512 Ultrasound of eye disease, growth, or structure	26	20	$138.92	$68.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,696	419	$88.00	$41.20
67028 Injection of drug into eye	1,675	282	$239.64	$107.77
J0178 Injection, aflibercept, 1 mg	1,120	87	$1850.00	$950.00
J2778 Injection, ranibizumab, 0.1 mg	1,093	31	$760.00	$369.80
J3490 Unclassified drugs	939	183	$90.19	$46.11
92014 Established patient complete exam of visual system	924	407	$267.00	$124.42
92012 Established patient problem focused exam of visual system	426	221	$187.33	$86.71
92250 Photography of the retina	279	248	$121.00	$55.00
92004 New patient complete exam of visual system	209	209	$319.00	$148.97
92226 Examination of eye by ophthalmoscope with retinal drawing	174	133	$53.00	$43.43
92225 Examination of eye by ophthalmoscope with retinal drawing	161	160	$56.98	$45.45
92235 Exam of retinal blood vessels using a special camera after injection of a dye	73	72	$229.00	$84.17
76512 Ultrasound of eye disease, growth, or structure	32	25	$158.00	$70.98
67210 Laser destruction of retinal growth, 1 or more sessions	16	16	$1128.00	$525.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,901	389	$87.00	$41.33
67028 Injection of drug into eye	1,643	242	$225.92	$107.14
J2778 Injection, ranibizumab, 0.1 mg	1,034	33	$760.00	$372.58
J0178 Injection, aflibercept, 1 mg	1,032	61	$1850.00	$959.17
J3490 Unclassified drugs	893	162	$90.00	$47.62
92014 Established patient complete exam of visual system	821	356	$262.00	$123.99
92012 Established patient problem focused exam of visual system	791	224	$181.10	$85.58
92226 Examination of eye by ophthalmoscope with retinal drawing	568	288	$52.00	$33.32
92250 Photography of the retina	227	213	$139.00	$65.53
92004 New patient complete exam of visual system	185	185	$314.00	$148.35
92225 Examination of eye by ophthalmoscope with retinal drawing	160	160	$57.75	$44.85
92235 Exam of retinal blood vessels using a special camera after injection of a dye	66	65	$229.00	$77.78
76512 Ultrasound of eye disease, growth, or structure	17	15	$194.00	$88.27

Medical Specialties & State Licenses

CMS Verified: 2021-04-27

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME86697

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

269577406 (FL)

Medicaid State Provider ID

269577402 (FL)

Medicaid State Provider ID

269577408 (FL)

Medicaid State Provider ID

269577405 (FL)

Medicaid State Provider ID

269577407 (FL)

Commercial Insurance / Payer ID Aetna

7192597 (FL)

Commercial Insurance / Payer ID Cigna

5730290 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

37551 (FL)

Commercial Insurance / Payer ID United Healthcare

2416244 (FL)

Commercial Insurance / Payer ID Medica Healthcare

7403 (FL)

Hospital & Practice Group Affiliations

Retina Macula Specialists Of Miami Llc

6705 S Red Rd, South Miami, FL 331433644

Phone: 3056668850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Carlos Justiz , RT

Radiologic Technologist - Radiography

NPI 1104021617

Dr. Jossue Alfonso , DMD

Dentist - General Practice

NPI 1235423997

Doctor of Dental Medicine

Dr. Jose Herrera , MD

Pediatrics

NPI 1285712224

Doctor of Medicine (M.D.)

Dr. Virgilio Del Pino , MD

Family Medicine

NPI 1477666477

Doctor of Medicine (M.D.)

Dr. Gustavo Leon , MD

Surgery

NPI 1598709917

Doctor of Medicine (M.D.)

Dr. Vicente Lago , MD PA

Internal Medicine - Gastroenterology

NPI 1619068095

MDPA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2012

Registered at 351 NW 42ND AVE, SUITE 302, MIAMI, FL 331265683 (Tel: 3056438871)

📍

Updated Business Mailing Address March 13, 2012

Registered at PO BOX 144336, CORAL GABLES, FL 331144336 (Tel: 3056438871)

👤

Provider Name / Credentials Updated March 13, 2012

Recorded as WILFREDO LARA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2012

Ophthalmology (License #ME86697 in FL)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942238522

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: April 27, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 144336

Coral Gables, FL 331144336

Phone: 3056438871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.