ALFONSO HERNANDEZ, OD

Optometrist · BROKEN ARROW, OK

Individual Active NPI 1205314572

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	110	196	$25,605	$14,456	$9,369
2023	101	171	$21,127	$13,237	$8,390
2022	88	142	$15,780	$10,842	$6,640

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	70	$84	$55
92250	Photography of the retina	44	$33	$19
92014	Established patient complete exam of visual system	19	$115	$73
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	$103	$71

Specialty	Code	Primary	License	State
Optometrist	152W00000X	✓	2984	OK

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