JAMES MARTEL, MD
Ophthalmology Physician · RANCHO CORDOVA, CA
Individual Active NPI 1851312300
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 531 | 2,177 | $488,797 | $212,518 | $159,454 |
| 2023 | 444 | 2,400 | $546,661 | $209,513 | $152,863 |
| 2022 | 411 | 2,414 | $569,198 | $222,338 | $166,441 |
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 | 538 | $143 | $108 |
| 92250 | Photography of the retina | 501 | $41 | $31 |
| 92025 | Ct scan of cornea | 359 | $42 | $31 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 186 | $102 | $80 |
| 92004 | New patient complete exam of visual system | 126 | $171 | $129 |
| 92014 | Established patient complete exam of visual system | 110 | $144 | $100 |
| 92134 | Imaging of retina | 55 | $45 | $32 |
| 92012 | Established patient problem focused exam of visual system | 54 | $102 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 46 | $184 | $136 |
| 92083 | Exam of visual field with extended testing | 43 | $74 | $57 |
| 92133 | Imaging of optic nerve | 37 | $41 | $30 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 37 | $187 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | G60544 | 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 1346509205
- NPI 1043798218
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.