npidexNPI registry + Medicare data

NICOLE KOULISIS, MD

Retina Specialist (Ophthalmology) Physician · ENCINO, CA

Individual Active NPI 1073033213

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202420713,016$1,197,401$784,066$619,457
202375763$174,837$107,876$85,931
20227388$416,509$15,595$12,306

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J2777Injection, faricimab-svoa, 0.1 mg10,020$34$27
J2782Injection, avacincaptad pegol, 0.1 mg1,000$108$86
92134Imaging of retina578$45$35
67028Injection of drug into eye290$142$112
92014Established patient complete exam of visual system277$140$105
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more76$180$133
J7999Compounded drug, not otherwise classified51$93$73
92012Established patient problem focused exam of visual system40$100$77
92250Photography of the retina26$41$33
92133Imaging of optic nerve26$40$28
765122d ultrasound scan of eye tissue and structures22$53$40
92235Exam of retinal blood vessels using a special camera after injection of a dye11$187$149

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Retina Specialist (Ophthalmology) Physician207WX0107X✓A157849CA
Ophthalmology Physician207W00000XA157849CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.