NILESH SHETH, M.D., MPH
Ophthalmology Physician · STONEHAM, MA
Individual Active NPI 1285711705
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 379 | 1,784 | $967,433 | $290,913 | $221,470 |
| 2023 | 331 | 1,343 | $588,448 | $172,921 | $129,113 |
| 2022 | 318 | 1,373 | $524,686 | $168,154 | $122,643 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 332 | $105 | $77 |
| 92014 | Established patient complete exam of visual system | 263 | $148 | $99 |
| 92250 | Photography of the retina | 171 | $44 | $34 |
| 92134 | Imaging of retina | 138 | $47 | $33 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 112 | $620 | $497 |
| 92283 | Extended exam involving color vision testing | 89 | $67 | $54 |
| 92083 | Exam of visual field with extended testing | 81 | $67 | $52 |
| 92133 | Imaging of optic nerve | 78 | $39 | $28 |
| 92136 | Measurement of corneal curvature and depth of eye | 73 | $55 | $38 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 65 | $146 | $112 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 49 | $190 | $122 |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 21 | $1,358 | $1,099 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 218562 | MA |
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.