npidexNPI registry + Medicare data

SANDRA MONTEZUMA, M.D.

Ophthalmology Physician · PLYMOUTH, MN

Individual Active NPI 1285798470

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242441,239$510,762$97,244$72,747
20232711,415$546,678$116,957$88,244
20222681,289$459,684$98,882$75,350

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
92134Imaging of retina439$24$18
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more199$92$66
67028Injection of drug into eye166$94$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more125$62$45
92235Exam of retinal blood vessels using a special camera after injection of a dye54$41$32
92083Exam of visual field with extended testing31$26$18
66984Removal of cataract with insertion of prosthetic lens27$521$391
76519Ultrasound scan to determine eye length and lens power20$53$37
765122d ultrasound scan of eye tissue and structures19$37$30
92273Measurement of retinal and optic nerve function18$35$23
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more18$126$85
66821Removal of recurring cataract in lens capsule using a laser15$304$217

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ophthalmology Physician207W00000X✓53409MN

Medicare eligibility

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

Other Ophthalmology Physician providers in Minnesota

See all Ophthalmology Physician providers in Minnesota →

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