AUTUMN JACKSON, OD
Optometrist · MIDDLETOWN, RI
Individual Active NPI 1477739100
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 657 | $158,505 | $70,105 | $46,082 |
| 2023 | 338 | 538 | $130,209 | $57,006 | $37,226 |
| 2022 | 338 | 539 | $125,421 | $57,768 | $35,944 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 286 | $131 | $85 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 100 | $94 | $62 |
| 92250 | Photography of the retina | 74 | $38 | $23 |
| 92133 | Imaging of optic nerve | 40 | $36 | $23 |
| 92004 | New patient complete exam of visual system | 33 | $156 | $106 |
| 92083 | Exam of visual field with extended testing | 32 | $66 | $37 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 30 | $130 | $89 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist | 152W00000X | ✓ | ODTA00538 | RI |
| Optometrist | 152W00000X | 4642 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Optometrist providers in Rhode Island
- NPI 1164568531
- NPI 1093714107
- NPI 1659472249
- NPI 1518003904
- NPI 1861266967
- NPI 1205974250
- NPI 1679794390
- NPI 1649967498
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.