MATTHEW KLIETHERMES, M.D.

Student in an Organized Health Care Education/Training Program · LUBBOCK, TX

Individual Active NPI 1417303363

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	986	9,400	$843,594	$797,828	$608,947
2023	876	5,683	$781,767	$694,210	$528,061
2022	868	2,894	$453,831	$433,092	$322,694

HCPCS	Description	Services	Avg allowed	Avg paid
J2777	Injection, faricimab-svoa, 0.1 mg	4,440	$35	$27
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,125	$147	$117
92012	Established patient problem focused exam of visual system	887	$90	$62
92014	Established patient complete exam of visual system	476	$126	$87
92134	Imaging of retina	449	$41	$31
92136	Measurement of corneal curvature and depth of eye	250	$40	$28
67028	Injection of drug into eye	224	$112	$83
66984	Removal of cataract with insertion of prosthetic lens	218	$506	$401
92083	Exam of visual field with extended testing	208	$65	$45
92133	Imaging of optic nerve	180	$35	$26
92004	New patient complete exam of visual system	146	$150	$100
92002	New patient problem focused exam of visual system	105	$86	$54

Specialty	Code	Primary	License	State
Student in an Organized Health Care Education/Training Program	390200000X	✓	—	—

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.