THOMAS BOULDEN, OD

Optometrist · TOMAH, WI

Individual Active NPI 1427052182

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20248641,581$365,203$152,864$91,551
20239521,649$363,692$155,315$91,116
20228711,583$344,303$155,379$90,632

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
92014Established patient complete exam of visual system762$123$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more315$89$59
92134Imaging of retina217$39$27
92133Imaging of optic nerve76$34$23
92004New patient complete exam of visual system66$146$65
92083Exam of visual field with extended testing57$62$38
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more17$125$84
92134Imaging of retina16$24$20
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more13$108$68
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more12$64$48

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Optometrist152W00000X2618WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Other Optometrist providers in Wisconsin

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