EFRAIN CANCEL, MD
Ophthalmology Physician · LA CROSSE, WI
Individual Active NPI 1972619419
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 383 | 1,087 | $1,760,154 | $169,070 | $130,549 |
| 2023 | 371 | 1,051 | $1,629,229 | $170,842 | $132,254 |
| 2022 | 256 | 629 | $990,244 | $94,395 | $70,515 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92285 | Photography of content of eyes | 210 | $3 | $2 |
| 92082 | Exam of visual field with intermediate testing | 206 | $19 | $14 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 117 | $75 | $51 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 105 | $90 | $66 |
| 15823 | Removal of excessive skin and fat of upper eyelid | 75 | $766 | $603 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 66 | $61 | $43 |
| 67904 | Repair of tendon of upper eyelid | 50 | $790 | $625 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $123 | $95 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 39 | $32 | $23 |
| 11106 | Incision biopsy, first skin growth | 20 | $50 | $33 |
| 68840 | Probing of nasal tear duct | 19 | $144 | $97 |
| 67917 | Extensive repair of turning-outward eyelid defect | 13 | $532 | $415 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 32645 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Ophthalmology Physician providers in Wisconsin
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- NPI 1730185869
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- NPI 1821092628
- NPI 1528060738
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.