DONALD FALGOUST, MD
Ophthalmology Physician · LAKE CHARLES, LA
Individual Active NPI 1538168323
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,462 | 3,970 | $2,524,770 | $570,819 | $419,750 |
| 2023 | 1,492 | 4,095 | $2,428,954 | $546,490 | $386,478 |
| 2022 | 1,404 | 3,830 | $2,135,439 | $496,043 | $343,373 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 1,124 | $119 | $77 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 515 | $497 | $395 |
| 92136 | Measurement of corneal curvature and depth of eye | 514 | $38 | $28 |
| 92134 | Imaging of retina | 282 | $38 | $27 |
| 92083 | Exam of visual field with extended testing | 253 | $60 | $42 |
| 92133 | Imaging of optic nerve | 251 | $34 | $24 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 247 | $89 | $67 |
| 92250 | Photography of the retina | 238 | $33 | $24 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 191 | $161 | $105 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 138 | $124 | $89 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 67 | $360 | $283 |
| 92004 | New patient complete exam of visual system | 60 | $143 | $87 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | MD12137R | LA |
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.