ALISA THAVIKULWAT

Ophthalmology Physician · GLENN DALE, MD

Individual Active NPI 1265827745

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024187964$161,880$82,561$56,423
2023186917$165,610$79,873$56,031
2022172821$137,720$74,042$49,808

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
92083Exam of visual field with extended testing155$72$47
92202Extended exam of the back part of the eye with optic nerve drawing123$16$12
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more113$137$97
92134Imaging of retina82$42$29
92014Established patient complete exam of visual system79$138$78
92133Imaging of optic nerve79$38$25
92020Exam of the internal drainage system of eye61$30$18
92250Photography of the retina52$38$26
92004New patient complete exam of visual system44$166$96
92012Established patient problem focused exam of visual system42$98$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more28$97$77
76514Ultrasound scan of cornea to determine thickness25$11$7

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ophthalmology Physician207W00000XD0087217MD

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Ophthalmology Physician providers in Maryland

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