GAYLE SHIMOKAJI, MD
Ophthalmology Physician · GREENBRAE, CA
Individual Active NPI 1912099672
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 134 | 6,455 | $791,725 | $609,271 | $481,392 |
| 2023 | 173 | 1,182 | $389,310 | $265,198 | $203,404 |
| 2022 | 176 | 1,307 | $311,080 | $204,012 | $155,470 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 2,231 | $88 | $70 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1,404 | $47 | $37 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 555 | $65 | $52 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 551 | $164 | $130 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 472 | $60 | $48 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 426 | $66 | $52 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 140 | $109 | $82 |
| 92250 | Photography of the retina | 100 | $46 | $36 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 98 | $214 | $163 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 94 | $153 | $112 |
| 92083 | Exam of visual field with extended testing | 87 | $82 | $58 |
| 76514 | Ultrasound scan of cornea to determine thickness | 82 | $13 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | G063936 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in California
- NPI 1285261289
- NPI 1508159344
- NPI 1760487227
- NPI 1962695304
- NPI 1912058728
- NPI 1962412643
- NPI 1811901762
- NPI 1871503557
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.