PHILLIP GENDELMAN, MD
Ophthalmology Physician · BURLINGTON, MA
Individual Active NPI 1427054576
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,278 | 6,165 | $1,415,723 | $474,276 | $337,566 |
| 2023 | 1,384 | 7,803 | $1,680,171 | $609,605 | $448,826 |
| 2022 | 1,406 | 7,471 | $1,667,608 | $564,482 | $398,101 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92201 | Extended exam of the back part of the eye with retinal drawing | 1,781 | $27 | $20 |
| 92014 | Established patient complete exam of visual system | 1,437 | $140 | $93 |
| 92012 | Established patient problem focused exam of visual system | 1,109 | $100 | $77 |
| 92083 | Exam of visual field with extended testing | 691 | $72 | $51 |
| 92133 | Imaging of optic nerve | 563 | $37 | $25 |
| 92134 | Imaging of retina | 236 | $45 | $33 |
| 92250 | Photography of the retina | 195 | $41 | $32 |
| 92274 | Measurement of retinal and optic nerve function targeting multiple separate locations | 35 | $102 | $68 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 26 | $99 | $70 |
| 92004 | New patient complete exam of visual system | 25 | $165 | $116 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 25 | $370 | $271 |
| 65855 | Laser repair to improve eye fluid flow | 15 | $269 | $214 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 46245 | MA |
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.