ADAM DE LA GARZA, MD
Ophthalmology Physician · BIRMINGHAM, AL
Individual Active NPI 1609805522
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 3,090 | $572,273 | $111,967 | $85,659 |
| 2023 | 204 | 1,643 | $640,408 | $120,590 | $92,430 |
| 2022 | 213 | 1,056 | $500,557 | $106,475 | $82,020 |
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 | 73 | $128 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $92 | $65 |
| 92081 | Exam of visual field with limited testing | 35 | $30 | $23 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 30 | $176 | $125 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $162 | $98 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 17 | $779 | $618 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 13 | $224 | $179 |
| 67900 | Repair of brow paralysis | 11 | $436 | $329 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 54096 | AL |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 081784 | GA | |
| Ophthalmology Physician | 207W00000X | 26270 | OK | |
| Ophthalmology Physician | 207W00000X | 36592 | IA | |
| Ophthalmology Physician | 207W00000X | 081784 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Alabama
- NPI 1770650475
- NPI 1184680647
- NPI 1366484941
- NPI 1992807259
- NPI 1043715832
- NPI 1154592244
- NPI 1891395638
- NPI 1689324329
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.