NICHOLAS CARDUCCI, MD
Ophthalmology Physician · BRIGHTON, MI
Individual Active NPI 1023514486
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 289 | 1,674 | $344,333 | $167,126 | $126,551 |
| 2023 | 229 | 484 | $154,916 | $46,495 | $34,699 |
| 2022 | 132 | 317 | $114,991 | $23,853 | $18,902 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 159 | $122 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 152 | $86 | $63 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 114 | $157 | $102 |
| 92250 | Photography of the retina | 94 | $34 | $24 |
| 67028 | Injection of drug into eye | 82 | $106 | $81 |
| 92134 | Imaging of retina | 72 | $37 | $29 |
| 92136 | Measurement of corneal curvature and depth of eye | 60 | $36 | $26 |
| J3590 | Unclassified biologics | 51 | $89 | $67 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 35 | $537 | $423 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 32 | $16 | $13 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 24 | $310 | $242 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $102 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 4301506160 | MI |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 4301506160 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Michigan
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- NPI 1205870896
- NPI 1851326078
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.