JAMES MACDONALD, MD
Ophthalmology Physician · SAN ANTONIO, TX
Individual Active NPI 1851408835
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 514 | 8,364 | $4,548,881 | $1,302,678 | $1,014,346 |
| 2023 | 523 | 5,872 | $4,878,703 | $1,383,225 | $1,080,813 |
| 2022 | 559 | 5,821 | $5,111,004 | $1,462,484 | $1,142,274 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 67028 | Injection of drug into eye | 1,018 | $122 | $91 |
| 92134 | Imaging of retina | 940 | $38 | $27 |
| J0178 | Injection, aflibercept, 1 mg | 940 | $828 | $657 |
| J7999 | Compounded drug, not otherwise classified | 797 | $83 | $63 |
| 92014 | Established patient complete exam of visual system | 604 | $119 | $84 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 399 | $15 | $11 |
| 92012 | Established patient problem focused exam of visual system | 137 | $84 | $63 |
| 92004 | New patient complete exam of visual system | 125 | $138 | $101 |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 113 | $23 | $16 |
| 92250 | Photography of the retina | 51 | $32 | $25 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 45 | $150 | $118 |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 14 | $228 | $173 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | L1120 | TX |
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.