BRANDON METCALF, M.D., M.P.H.
Ophthalmology Physician · MADISON, WI
Individual Active NPI 1225392632
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,308 | 3,642 | $1,074,771 | $493,618 | $359,664 |
| 2023 | 1,441 | 3,485 | $1,046,887 | $532,318 | $380,836 |
| 2022 | 1,454 | 3,654 | $972,411 | $602,850 | $436,639 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 924 | $128 | $82 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 802 | $91 | $63 |
| 92133 | Imaging of optic nerve | 300 | $36 | $24 |
| 92136 | Measurement of corneal curvature and depth of eye | 295 | $25 | $19 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 269 | $503 | $402 |
| 92134 | Imaging of retina | 215 | $40 | $28 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 161 | $166 | $116 |
| 92083 | Exam of visual field with extended testing | 160 | $63 | $43 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 86 | $332 | $264 |
| 92025 | Ct scan of cornea | 77 | $36 | $28 |
| 92250 | Photography of the retina | 66 | $37 | $26 |
| 68761 | Closure of tear duct opening using plug | 41 | $211 | $161 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 61900 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.