npidexNPI registry + Medicare data

KEERTHANA BOLISETTY, MD

Retina Specialist (Ophthalmology) Physician · ARLINGTON, TX

Individual Active NPI 1407241284

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242709,728$1,709,116$778,774$612,111
20231901,651$849,532$344,959$272,147
2022140636$273,988$60,450$45,503

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J2777Injection, faricimab-svoa, 0.1 mg6,480$34$27
92134Imaging of retina678$41$31
67028Injection of drug into eye300$131$103
J0178Injection, aflibercept, 1 mg262$825$657
92202Extended exam of the back part of the eye with optic nerve drawing243$16$12
92014Established patient complete exam of visual system217$130$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more157$133$98
92201Extended exam of the back part of the eye with retinal drawing111$26$18
92004New patient complete exam of visual system106$153$109
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more63$171$121
J9035Injection, bevacizumab, 10 mg53$72$58
765122d ultrasound scan of eye tissue and structures51$50$39

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Retina Specialist (Ophthalmology) Physician207WX0107X✓S1985TX
Ophthalmology Physician207W00000XS1985TX

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.