GARY RAFLO, M.D.
Ophthalmology Physician · CONCORD, NC
Individual Active NPI 1598758492
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 351 | 1,063 | $267,467 | $118,722 | $86,573 |
| 2023 | 450 | 2,123 | $358,932 | $156,555 | $116,382 |
| 2022 | 486 | 1,925 | $347,814 | $161,193 | $119,658 |
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 | 121 | $119 | $85 |
| 92285 | Photography of content of eyes | 97 | $21 | $15 |
| 92014 | Established patient complete exam of visual system | 81 | $117 | $75 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 69 | $53 | $34 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 44 | $85 | $59 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 44 | $156 | $100 |
| 67904 | Repair of tendon of upper eyelid | 26 | $792 | $626 |
| 67840 | Removal of growth of eyelid | 26 | $267 | $165 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 23 | $768 | $592 |
| 67800 | Removal of chronic growth of eyelid | 15 | $116 | $86 |
| 67917 | Extensive repair of turning-outward eyelid defect | 14 | $716 | $570 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 35473 | NC |
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.