ALICE BALLESTEROS GOMEZ, O.D.
Ophthalmology Physician · ELMHURST, NY
Individual Active NPI 1578662136
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 48 | 80 | $9,545 | $3,780 | $2,586 |
| 2023 | 44 | 70 | $7,356 | $2,899 | $2,120 |
| 2022 | 66 | 128 | $14,261 | $5,712 | $3,762 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 29 | $55 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 | $74 | $49 |
| 92002 | New patient problem focused exam of visual system | 11 | $49 | $35 |
| 92133 | Imaging of optic nerve | 11 | $23 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | TUV006724 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Ophthalmology Physician providers in New York
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.