BRIAN HALES, O.D.
Optometrist · CLARE, MI
Individual Active NPI 1154619286
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 144 | 236 | $32,905 | $21,246 | $13,776 |
| 2023 | 148 | 240 | $32,149 | $21,402 | $13,700 |
| 2022 | 166 | 241 | $34,135 | $23,224 | $15,082 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 113 | $117 | $72 |
| 92250 | Photography of the retina | 24 | $34 | $25 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $53 | $38 |
| 92083 | Exam of visual field with extended testing | 18 | $58 | $42 |
| 92004 | New patient complete exam of visual system | 16 | $139 | $91 |
| 92133 | Imaging of optic nerve | 15 | $32 | $20 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 | $86 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | ✓ | 4901004640 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- 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.