ALICIA THIBODEAUX, O.D.
Optometrist · GALLUP, NM
Individual Active NPI 1265885990
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 168 | 352 | $62,458 | $18,701 | $12,914 |
| 2023 | 119 | 220 | $43,604 | $13,579 | $9,621 |
| 2022 | 67 | 121 | $21,751 | $7,416 | $5,615 |
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 | 68 | $93 | $65 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 42 | $63 | $46 |
| 92250 | Photography of the retina | 40 | $20 | $15 |
| 92014 | Established patient complete exam of visual system | 38 | $71 | $48 |
| 92134 | Imaging of retina | 33 | $23 | $17 |
| 92250 | Photography of the retina | 31 | $20 | $11 |
| 92133 | Imaging of optic nerve | 19 | $20 | $13 |
| 92083 | Exam of visual field with extended testing | 16 | $25 | $20 |
| 92004 | New patient complete exam of visual system | 15 | $88 | $66 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | ✓ | 9836847-9934 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Optometrist providers in New Mexico
- NPI 1811852718
- NPI 1235057795
- NPI 1861631293
- NPI 1942230610
- NPI 1326722174
- NPI 1073090650
- NPI 1366285553
- NPI 1750713566
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.