NISHA GUPTA, MD
Retina Specialist (Ophthalmology) Physician · WHEATON, IL
Individual Active NPI 1659665263
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 284 | 1,448 | $276,089 | $117,200 | $84,904 |
| 2023 | 354 | 924 | $288,944 | $123,830 | $90,463 |
| 2022 | 463 | 2,270 | $1,215,150 | $493,904 | $388,326 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 232 | $128 | $86 |
| 92134 | Imaging of retina | 181 | $41 | $31 |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 100 | $25 | $19 |
| 92012 | Established patient problem focused exam of visual system | 62 | $91 | $60 |
| 92083 | Exam of visual field with extended testing | 60 | $65 | $43 |
| 92133 | Imaging of optic nerve | 45 | $37 | $24 |
| 92004 | New patient complete exam of visual system | 30 | $148 | $87 |
| 92250 | Photography of the retina | 25 | $37 | $27 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | $132 | $77 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $173 | $109 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 17 | $58 | $41 |
| 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 | 13 | $17 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ✓ | 141533 | IL |
| Ophthalmology Physician | 207W00000X | ME124167 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Retina Specialist (Ophthalmology) Physician providers in Illinois →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.