THOMAS WOLTJER, D.O.
Retina Specialist (Ophthalmology) Physician · WICHITA, KS
Individual Active NPI 1376989202
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 438 | 2,188 | $716,598 | $152,857 | $112,500 |
| 2023 | 394 | 2,218 | $984,546 | $169,012 | $123,121 |
| 2022 | 342 | 1,799 | $904,012 | $129,602 | $96,012 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92134 | Imaging of retina | 722 | $26 | $18 |
| 67028 | Injection of drug into eye | 363 | $97 | $69 |
| 92014 | Established patient complete exam of visual system | 333 | $71 | $46 |
| 92250 | Photography of the retina | 66 | $21 | $14 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 | $152 | $117 |
| 92004 | New patient complete exam of visual system | 53 | $114 | $82 |
| J3590 | Unclassified biologics | 47 | $89 | $71 |
| 92012 | Established patient problem focused exam of visual system | 33 | $46 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | $119 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $82 | $66 |
| 76512 | 2d ultrasound scan of eye tissue and structures | 15 | $39 | $29 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 14 | $70 | $54 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ✓ | 05-42080 | KS |
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.