AMANDA LALLENSACK, OD

Optometrist · CRANDON, WI

Individual Active NPI 1477178259

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	92	136	$21,590	$13,514	$7,332
2023	66	75	$12,741	$8,344	$5,154
2022	78	82	$13,485	$9,303	$4,024

HCPCS	Description	Services	Avg allowed	Avg paid
92014	Established patient complete exam of visual system	60	$113	$57
92004	New patient complete exam of visual system	25	$136	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	16	$85	$64
92134	Imaging of retina	15	$36	$22

Specialty	Code	Primary	License	State
Optometrist	152W00000X	✓	3700	WI

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