SHAWN GAPPY, M.D.
Ophthalmology Physician · HAZEL PARK, MI
Individual Active NPI 1578900189
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 187 | 399 | $97,325 | $54,245 | $36,985 |
| 2023 | 205 | 431 | $116,510 | $62,841 | $44,496 |
| 2022 | 223 | 526 | $140,030 | $75,277 | $52,907 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 79 | $129 | $87 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 71 | $170 | $103 |
| 92060 | Exam to measure eye deviation and range of motion | 46 | $62 | $43 |
| 76519 | Ultrasound scan to determine eye length and lens power | 34 | $67 | $42 |
| 92012 | Established patient problem focused exam of visual system | 34 | $87 | $62 |
| 92250 | Photography of the retina | 26 | $36 | $24 |
| 92014 | Established patient complete exam of visual system | 25 | $124 | $74 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | $174 | $128 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 21 | $538 | $402 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 4301103153 | MI |
| Internal Medicine Physician | 207R00000X | 4301103153 | MI |
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.