ALAINA JACOBSEN, OD

Optometrist · LONGMONT, CO

Individual Active NPI 1801570288

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	115	195	$32,635	$18,514	$13,825

HCPCS	Description	Services	Avg allowed	Avg paid
92014	Established patient complete exam of visual system	86	$128	$96
92134	Imaging of retina	37	$41	$31
92004	New patient complete exam of visual system	16	$151	$101
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	14	$92	$73
92250	Photography of the retina	13	$37	$30

Specialty	Code	Primary	License	State
Optometrist	152W00000X	✓	OPT.0004006	CO

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.