JAMES GAMMON, MD
Ophthalmology Physician · MODESTO, CA
Individual Active NPI 1598800062
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 300 | 665 | $181,980 | $73,586 | $50,140 |
| 2023 | 410 | 913 | $209,149 | $95,627 | $66,889 |
| 2022 | 488 | 1,177 | $340,473 | $134,101 | $94,392 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 318 | $89 | $56 |
| 92250 | Photography of the retina | 107 | $37 | $24 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 46 | $521 | $410 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 40 | $55 | $39 |
| 92004 | New patient complete exam of visual system | 37 | $149 | $79 |
| 92133 | Imaging of optic nerve | 29 | $36 | $23 |
| 92136 | Measurement of corneal curvature and depth of eye | 26 | $46 | $36 |
| 92134 | Imaging of retina | 25 | $40 | $26 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 14 | $330 | $204 |
| 92081 | Exam of visual field with limited testing | 12 | $33 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | C334380 | CA |
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.