SHARON THEODORE, M.D.
Ophthalmology Physician · PISMO BEACH, CA
Individual Active NPI 1831145739
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 328 | 3,786 | $973,291 | $567,853 | $434,851 |
| 2023 | 372 | 4,817 | $878,863 | $526,203 | $401,178 |
| 2022 | 331 | 4,242 | $1,771,277 | $971,661 | $748,977 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92134 | Imaging of retina | 835 | $43 | $31 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 470 | $134 | $91 |
| J0178 | Injection, aflibercept, 1 mg | 374 | $826 | $658 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 370 | $95 | $70 |
| 67028 | Injection of drug into eye | 339 | $118 | $92 |
| J9035 | Injection, bevacizumab, 10 mg | 94 | $72 | $57 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 69 | $174 | $99 |
| 92250 | Photography of the retina | 64 | $37 | $27 |
| 92133 | Imaging of optic nerve | 62 | $37 | $27 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 62 | $180 | $140 |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 55 | $26 | $19 |
| 92083 | Exam of visual field with extended testing | 55 | $69 | $52 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | A91327 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in California
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- NPI 1811901762
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.