RACHAEL JACOBY, MD
Ophthalmology Physician · SALT LAKE CITY, UT
Individual Active NPI 1265659213
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 351 | 14,657 | $2,475,538 | $1,159,340 | $913,935 |
| 2023 | 485 | 3,274 | $847,758 | $221,459 | $161,458 |
| 2022 | 526 | 3,276 | $1,020,722 | $361,075 | $273,828 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 10,680 | $34 | $27 |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1,395 | $147 | $117 |
| 92134 | Imaging of retina | 761 | $38 | $29 |
| 67028 | Injection of drug into eye | 444 | $123 | $93 |
| J0178 | Injection, aflibercept, 1 mg | 364 | $823 | $656 |
| 92014 | Established patient complete exam of visual system | 309 | $122 | $94 |
| 92004 | New patient complete exam of visual system | 137 | $144 | $100 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 31 | $99 | $29 |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 17 | $1,104 | $873 |
| 92250 | Photography of the retina | 14 | $28 | $16 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 12 | $155 | $111 |
| 92134 | Imaging of retina | 12 | $23 | $2 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 5764061-1205 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Utah
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- NPI 1275739096
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- NPI 1104045566
- NPI 1568815082
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.