BENJAMIN ERNST, M.D.
Retina Specialist (Ophthalmology) Physician · APPLETON, WI
Individual Active NPI 1518162247
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 423 | 11,190 | $9,320,627 | $1,376,343 | $1,072,149 |
| 2023 | 410 | 7,378 | $6,735,099 | $1,283,359 | $999,705 |
| 2022 | 476 | 6,604 | $2,304,647 | $1,431,649 | $1,113,481 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 6,000 | $34 | $27 |
| 92134 | Imaging of retina | 1,400 | $38 | $29 |
| 67028 | Injection of drug into eye | 1,152 | $116 | $86 |
| J0178 | Injection, aflibercept, 1 mg | 956 | $827 | $653 |
| J9035 | Injection, bevacizumab, 10 mg | 764 | $72 | $55 |
| 92012 | Established patient problem focused exam of visual system | 334 | $84 | $60 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 70 | $85 | $68 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $156 | $117 |
| 92004 | New patient complete exam of visual system | 52 | $141 | $96 |
| 92014 | Established patient complete exam of visual system | 46 | $119 | $83 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 17 | $153 | $112 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 16 | $104 | $72 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ✓ | 57459020 | WI |
| Ophthalmology Physician | 207W00000X | 48790 | CO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Retina Specialist (Ophthalmology) Physician providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.