MIKELSON MOMPREMIER, M.D.,F.A.C.S.
Ophthalmology Physician · DESOTO, TX
Individual Active NPI 1578706396
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 657 | 2,532 | $908,152 | $174,109 | $132,372 |
| 2023 | 182 | 532 | $271,645 | $46,111 | $33,288 |
| 2022 | 105 | 356 | $80,312 | $40,236 | $28,313 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92134 | Imaging of retina | 643 | $24 | $19 |
| 67028 | Injection of drug into eye | 503 | $101 | $80 |
| 92134 | Imaging of retina | 398 | $25 | $19 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 254 | $102 | $70 |
| 67028 | Injection of drug into eye | 227 | $103 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 96 | $64 | $50 |
| 92014 | Established patient complete exam of visual system | 84 | $73 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 81 | $95 | $75 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 57 | $16 | $13 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 38 | $80 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $130 | $103 |
| 92250 | Photography of the retina | 23 | $20 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | P7164 | TX |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | P7164 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Texas
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- NPI 1851337166
- NPI 1356447718
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.