PEDRO SOIBELMANN TETELBOM, M.D.
Retina Specialist (Ophthalmology) Physician · LITTLE ROCK, AR
Individual Active NPI 1346736337
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 208 | 1,631 | $496,772 | $168,528 | $133,806 |
| 2023 | 27 | 46 | $21,844 | $4,035 | $3,215 |
| 2022 | 22 | 35 | $12,936 | $2,041 | $1,626 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92134 | Imaging of retina | 197 | $36 | $28 |
| 67028 | Injection of drug into eye | 126 | $105 | $84 |
| 92012 | Established patient problem focused exam of visual system | 122 | $79 | $62 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 110 | $150 | $117 |
| J9035 | Injection, bevacizumab, 10 mg | 86 | $71 | $57 |
| J0178 | Injection, aflibercept, 1 mg | 68 | $811 | $646 |
| 92250 | Photography of the retina | 63 | $32 | $26 |
| 92134 | Imaging of retina | 30 | $22 | $18 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 15 | $140 | $112 |
| 92014 | Established patient complete exam of visual system | 14 | $112 | $83 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 12 | $88 | $70 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ✓ | E15207 | AR |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — | |
| Ophthalmology Physician | 207W00000X | E-15207 | AR |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Retina Specialist (Ophthalmology) Physician providers in Arkansas
- NPI 1184633075
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- NPI 1730161373
- NPI 1851373484
- NPI 1255350021
- NPI 1235690264
- NPI 1205702883
- NPI 1174729016
See all Retina Specialist (Ophthalmology) Physician providers in Arkansas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.