JOSEPH SPRAUL, MD
Ophthalmology Physician · EFFINGHAM, IL
Individual Active NPI 1134172141
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,979 | 5,429 | $1,278,712 | $537,575 | $380,092 |
| 2023 | 2,020 | 4,579 | $1,325,881 | $543,073 | $384,741 |
| 2022 | 2,126 | 4,387 | $1,054,263 | $518,043 | $365,181 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 738 | $87 | $58 |
| 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 | 694 | $16 | $10 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 624 | $54 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 611 | $123 | $85 |
| 92136 | Measurement of corneal curvature and depth of eye | 546 | $24 | $17 |
| 92014 | Established patient complete exam of visual system | 305 | $118 | $75 |
| 92083 | Exam of visual field with extended testing | 298 | $56 | $36 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 288 | $514 | $405 |
| 92012 | Established patient problem focused exam of visual system | 212 | $83 | $49 |
| 92134 | Imaging of retina | 209 | $37 | $25 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 181 | $162 | $109 |
| 92133 | Imaging of optic nerve | 97 | $33 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 036092488 | IL |
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.