npidexNPI registry + Medicare data

SAM MANSOUR, MD

Ophthalmology Physician · WARRENTON, VA

Individual Active NPI 1376506873

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,22524,477$2,666,582$2,028,369$1,564,762
20231,24827,422$2,548,773$2,080,611$1,617,221
20221,21512,496$2,370,424$2,081,265$1,611,813

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J2777Injection, faricimab-svoa, 0.1 mg14,886$35$27
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2,207$124$87
92134Imaging of retina1,310$39$28
92250Photography of the retina1,186$36$26
J0177Injection, aflibercept hd, 1 mg928$326$260
67028Injection of drug into eye812$107$85
92202Extended exam of the back part of the eye with optic nerve drawing560$15$10
J0178Injection, aflibercept, 1 mg484$823$647
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more220$89$61
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more131$162$102
92133Imaging of optic nerve101$35$24
J9035Injection, bevacizumab, 10 mg79$71$54

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ophthalmology Physician207W00000X✓0101233782VA
Ophthalmology Physician207W00000XA49545CA
Ophthalmology Physician207W00000XD0059626MD
Ophthalmology Physician207W00000XMD 34095DC

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.