Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing MD-20231222-retina-group-of-washington-pllcHHS OCR Breach Register, Maryland

Breach filing

Archived

Retina Group of Washington, PLLC: 455,935 individuals, Dec 2023.

Retina Group of Washington, PLLC reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 22 December 2023. The filing records the organisation as a healthcare provider in Maryland and lists 455,935 individuals affected, which makes it the 12th largest of the 170 Maryland filings on the register and the 66th largest of the 746 filings submitted nationally in 2023. Among the 16 Maryland filings made in 2023 it ranks 2nd.

Individuals affected

455,935

As reported to HHS

Modelled cost (IBM 2025)

$72.9M

Upper bound, method shown

Rank in MD

12th

of 170 Maryland filings

Rank in 2023

66th

of 746 filings nationally

Section F.1 / The filing

As posted by HHS OCR

Every value below is the portal's own field for this filing, plus its rank within the register.

Covered entity type
Healthcare Provider
Individuals affected
455,935
Breach submission date
22 December 2023
Submission year
2023
Type of breach
Hacking/IT Incident
Location of breached information
Network Server
Business associate present
No
Portal status
listed in the HHS OCR breach portal archive
Rank in Maryland by size
12th of 170
Rank in 2023 nationally
66th of 746
Maryland median filing
4,792 individuals
Register id (derived)
MD-20231222-retina-group-of-washington-pllc

Section F.2 / In context

Where this filing sits in Maryland and in 2023

OCR classifies the incident as a hacking or IT incident, with the breached information held in a network server. Hacking/IT Incident is the type recorded on 117 of the 170 Maryland filings (69%) and on 82% of all filings submitted in 2023. Network Server appears on 45% of Maryland filings.

No business associate is recorded on the filing; 38% of Maryland filings do involve one. At 455,935 individuals the breach is 95 times the Maryland median filing of 4,792 and 114 times the national median of 4,000 across all 7,884 filings. It is one of 801 filings of 100,000 or more individuals.

As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

Maryland's breach notification statute (Md. Code, Com. Law 14-3504) requires notice to affected residents within 45 days after discovery or notification of the breach. Its attorney general threshold: all breaches (AG notified before individual notices are sent). The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.

Multiplying 455,935 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $72.9M; the 2026 edition's $192 gives $87.5M. Both are modelled estimates with the method shown, not costs disclosed by Retina Group of Washington, PLLC. Because the filing is above the roughly 100,000-record range in which the per-record figure is reliable, the result is an upper bound, not an estimate: fixed costs are spread across far more records at this scale.

Section F.3 / OCR closing summary

The portal's archived description, in full

Written by the Office for Civil Rights when the case was closed and reproduced verbatim from the HHS export.

Retina Group of Washington, the covered entity (CE), reported that it experienced a ransomware incident that affected the protected health information (PHI) of 455,935 individuals. The PHI involved included names, addresses, phone numbers, email addresses, dates of birth, drivers' license and Social Security numbers, medical record numbers, and treatment and health insurance information. The CE notified HHS, affected individuals, and the media. In its mitigation efforts, the CE implemented additional administrative, technical, and security safeguards to better protect its sensitive data. OCR provided technical assistance regarding the HIPAA Rules.

Section F.5 / Modelled cost

455,935 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Upper bound

IBM 2025 customer PII, $160 per record

$72.9M

455,935 x $160

IBM 2026 customer PII, $192 per record

$87.5M

455,935 x $192

Method: individuals affected, as reported by Retina Group of Washington, PLLC to HHS, multiplied by IBM's customer-PII cost per record (Cost of a Data Breach 2025 Figure 6 and the 2026 edition). No cost has been disclosed by the entity for this filing; the figure is a planning estimate, not a fact about the breach. IBM's per-record figures come from mid-volume breaches and IBM cautions against applying them to breaches involving millions of records; the site's per-record page explains where the multiplication holds and where it breaks down.

Context: IBM's average cost of a healthcare breach is $6.64M in the 2026 report ($7.42M in 2025); the global average across all sectors was $4.44M in 2025.

Cost per record: method and limits / Healthcare breach cost, IBM 2026

Section F.6 / Notification clock

Maryland statute and the HIPAA rule

State notification statute

Maryland: Md. Code, Com. Law 14-3504

Notice to individuals
Within 45 days after discovery or notification of the breach
Attorney general threshold
All breaches (AG notified before individual notices are sent) (Before individual notifications are sent)
Private right of action
No: No PROA under the breach statute; AG enforcement only
Penalty
Unfair or deceptive trade practice; up to $10,000 per violation, $25,000 per repeat violation

The HIPAA Breach Notification Rule runs alongside the state statute: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.

Section F.7 / Peer filings

Maryland filings closest in size

Neighbours by size rank among Maryland filings in 2023, topped up from other years where 2023 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Centers for Medicare & Medicaid ServicesHealth Plan2,342,35728 Jul 2023
Advanced Medical Management, LLCBusiness Associate319,48529 Jun 2023
Johns Hopkins MedicineHealthcare Provider310,40525 Jul 2023

Index / Companion schedules

Provenance

Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-08-28. Public domain. Individuals affected and dates as reported by the covered entity.

Portal: ocrportal.hhs.gov breach report. Statutory basis: HITECH Act section 13402(e)(4): the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. Breaches affecting fewer than 500 individuals are reported to OCR annually and are not posted, so they are not on this register. Status wording follows the portal's two tabs ("Cases Currently Under Investigation" and "Archive") as of 28 August 2026; a filing moves to the archive when OCR closes the case. Modelled costs on this site are a method applied to the reported count, using IBM Cost of a Data Breach per-record figures, and are never a cost disclosed by the entity. This row: hhs-breach-archive__2026-08-28.csv, export row 1292.

Corrections: if you represent a listed entity and the portal row has been amended, email [email protected] with the portal entry and we will re-pull the export.