ELYSSE TOM, M.D.
Ophthalmology Physician · HONOLULU, HI
Individual Active NPI 1659806594
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 523 | 11,301 | $2,671,477 | $1,051,454 | $826,343 |
| 2023 | 268 | 1,885 | $578,491 | $209,041 | $165,188 |
| 2022 | 136 | 187 | $95,765 | $32,223 | $25,312 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 7,500 | $32 | $26 |
| 92134 | Imaging of retina | 952 | $44 | $33 |
| 67028 | Injection of drug into eye | 578 | $118 | $92 |
| 92012 | Established patient problem focused exam of visual system | 574 | $97 | $73 |
| J0178 | Injection, aflibercept, 1 mg | 540 | $797 | $636 |
| 92014 | Established patient complete exam of visual system | 280 | $138 | $102 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 242 | $178 | $121 |
| J7999 | Compounded drug, not otherwise classified | 174 | $85 | $67 |
| 92250 | Photography of the retina | 123 | $41 | $32 |
| 76512 | 2d ultrasound scan of eye tissue and structures | 36 | $50 | $41 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 35 | $187 | $151 |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 25 | $799 | $643 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 23319 | HI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Hawaii
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- NPI 1972024636
- NPI 1316047160
- NPI 1417109117
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.