BENJAMIN GILBERT, MD
Ophthalmology Physician · CHICO, CA
Individual Active NPI 1811930118
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,670 | 6,623 | $1,199,472 | $597,675 | $432,902 |
| 2023 | 1,690 | 5,767 | $1,130,577 | $549,913 | $391,587 |
| 2022 | 1,517 | 5,344 | $1,153,562 | $552,207 | $394,578 |
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 | 1,241 | $136 | $93 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 796 | $97 | $69 |
| 92134 | Imaging of retina | 478 | $43 | $31 |
| 83861 | Microfluid analysis of tears | 348 | $22 | $22 |
| 92014 | Established patient complete exam of visual system | 330 | $135 | $88 |
| 92250 | Photography of the retina | 241 | $40 | $29 |
| 92025 | Ct scan of cornea | 228 | $39 | $28 |
| 92133 | Imaging of optic nerve | 204 | $39 | $28 |
| 92136 | Measurement of corneal curvature and depth of eye | 167 | $43 | $31 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 134 | $176 | $100 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 126 | $574 | $460 |
| 92083 | Exam of visual field with extended testing | 124 | $70 | $50 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | G85718 | 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.