ALYSSA CALTA, OD

Optometrist · OMAHA, NE

Individual Active NPI 1194572313

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	88	146	$46,009	$12,939	$9,723

HCPCS	Description	Services	Avg allowed	Avg paid
92014	Established patient complete exam of visual system	39	$116	$88
92004	New patient complete exam of visual system	29	$138	$96
92134	Imaging of retina	19	$37	$30
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	19	$84	$67
92133	Imaging of optic nerve	13	$33	$27

Specialty	Code	Primary	License	State
Optometrist	152W00000X	✓	1640	NE

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