AJAY GUPTA, M.D.
Ophthalmology Physician · SHEBOYGAN, WI
Individual Active NPI 1316049265
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 55 | 164 | $147,717 | $24,995 | $19,091 |
| 2023 | 330 | 791 | $278,238 | $89,331 | $59,938 |
| 2022 | 152 | 278 | $88,235 | $32,703 | $24,431 |
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 | 29 | $120 | $78 |
| 92136 | Measurement of corneal curvature and depth of eye | 26 | $37 | $27 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 23 | $487 | $388 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 18 | $85 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $156 | $117 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $102 | $70 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 71682-20 | WI |
| Ophthalmology Physician | 207W00000X | OH 35 084276 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.