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Douglas D Hand, OD

Optometry · Iowa City

NPI 1689655169

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Insight Vision Inc. · 4 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Hand’s office at (319) 377-5343 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$34,179

Medicare paid this office $34,179 for 335 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Established patient complete exam of visual system281$18,564$66
Photography of the retina164$3,620$21
Short return visit (20+ min)42$3,080$54
Established patient problem focused exam of visual system52$2,547$45
New patient complete exam of visual system21$1,517$72
See all 8 services
Every Original Medicare service billed
Established patient complete exam of visual system281$18,564$66
Photography of the retina164$3,620$21
Short return visit (20+ min)42$3,080$54
Established patient problem focused exam of visual system52$2,547$45
New patient complete exam of visual system21$1,517$72
Exam of visual field with extended testing38$1,471$37
Imaging of optic nerve55$1,129$18
Imaging of retina32$852$23

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery40More than 59% of doctors who do this

Who their Medicare patients are

335 Original Medicare patients in 2024. Average age 74 · Women 56% · Health risk score 0.79. At or below the middle of the specialty; the typical optometry clinician is at 0.97.

Conditions among them: High blood pressure 60% · Diabetes 19% · Chronic kidney disease 18% · Coronary heart disease 16% · Atrial fibrillation 15% · Depression 13% · Cancer 11% · Heart failure 9% · COPD 7% · Stroke 4%.

The office billed $144,681, Medicare allowed $57,365 and paid $34,179; for 755 services of 20 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024335755740.79$144,681$34,179
2023326728740.82$141,021$36,425
2022339763730.77$143,822$36,884
2021320765740.81$134,184$39,706
2020251575730.74$99,015$28,557
2019291666740.84$113,027$33,235
2018280678730.89$112,900$30,522
2017258670740.87$107,060$28,266
2016267696740.78$102,819$33,036
2015241580740.87$84,018$28,667
2014261567730.84$82,393$29,604
2013248480730.81$64,479$26,843

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 8 services

Original Medicare services billed in 2023
Established patient complete exam of visual system278$20,074$71
Photography of the retina152$3,559$22
Short return visit (20+ min)42$3,414$62
Established patient problem focused exam of visual system50$2,380$46
Removal of cataract with insertion of prosthetic lens20$2,092$77
Exam of visual field with extended testing34$1,257$37
Imaging of optic nerve43$1,115$22
Imaging of retina34$915$23

2022: 9 services

Original Medicare services billed in 2022
Established patient complete exam of visual system287$19,849$68
Photography of the retina157$3,323$21
Short return visit (20+ min)38$2,959$50
Established patient problem focused exam of visual system40$2,637$59
Removal of cataract with insertion of prosthetic lens18$2,245$77
Imaging of retina46$1,446$25
Exam of visual field with extended testing31$1,398$41
Imaging of optic nerve40$1,159$22
New patient complete exam of visual system15$1,070$71

2021: 8 services

Original Medicare services billed in 2021
Established patient complete exam of visual system275$19,623$70
Short return visit (20+ min)80$6,401$57
Photography of the retina173$4,437$25
Removal of cataract with insertion of prosthetic lens23$3,054$78
New patient complete exam of visual system19$1,797$95
Exam of visual field with extended testing33$1,386$41
Imaging of retina34$1,090$25
Imaging of optic nerve39$1,075$23

2020: 8 services

Original Medicare services billed in 2020
Established patient complete exam of visual system208$14,275$68
Short return visit (20+ min)70$4,212$45
Photography of the retina117$3,464$28
Removal of cataract with insertion of prosthetic lens19$2,533$75
Exam of visual field with extended testing31$1,239$39
New patient complete exam of visual system12$936$78
Imaging of optic nerve33$739$20
Imaging of retina19$667$27

2019: 8 services

Original Medicare services billed in 2019
Established patient complete exam of visual system250$17,377$69
Short return visit (20+ min)68$4,042$41
Photography of the retina102$3,276$31
Removal of cataract with insertion of prosthetic lens22$2,860$87
Imaging of retina56$1,620$24
Imaging of optic nerve53$1,321$21
New patient complete exam of visual system13$1,212$93
Exam of visual field with extended testing24$955$40

2018: 9 services

Original Medicare services billed in 2018
Established patient complete exam of visual system240$14,979$62
Short return visit (20+ min)68$3,703$40
Photography of the retina84$2,947$34
Removal of cataract with insertion of prosthetic lens17$2,163$87
Imaging of retina72$2,102$24
Exam of visual field with extended testing37$1,360$36
Imaging of optic nerve63$1,278$19
New patient complete exam of visual system12$884$74
Short return visit13$324$25

2017: 8 services

Original Medicare services billed in 2017
Established patient complete exam of visual system223$14,045$62
Short return visit (20+ min)71$3,677$39
Photography of the retina93$3,357$34
Imaging of retina75$1,996$22
Imaging of optic nerve64$1,593$20
Removal of cataract with insertion of prosthetic lens11$1,313$82
Exam of visual field with extended testing31$1,179$38
Short return visit14$258$17

2016: 9 services

Original Medicare services billed in 2016
Established patient complete exam of visual system199$12,501$63
Short return visit (20+ min)76$4,542$42
Photography of the retina85$4,222$48
Removal of cataract with insertion of prosthetic lens28$3,486$81
Imaging of retina84$2,653$26
Imaging of optic nerve65$1,921$25
New patient complete exam of visual system19$1,493$79
Exam of visual field with extended testing19$725$36
Exam of visual field with intermediate testing12$335$28

2015: 8 services

Original Medicare services billed in 2015
Established patient complete exam of visual system204$14,267$70
Photography of the retina67$3,367$50
Short return visit (20+ min)55$2,608$40
Imaging of retina76$2,195$27
Removal of cataract with insertion of prosthetic lens13$2,096$87
Imaging of optic nerve56$1,690$24
Exam of visual field with extended testing20$630$30
New patient complete exam of visual system12$627$52

2014: 8 services

Original Medicare services billed in 2014
Established patient complete exam of visual system216$14,483$67
Photography of the retina67$3,302$49
Short return visit (20+ min)48$2,301$43
Imaging of retina69$2,112$29
Removal of cataract with insertion of prosthetic lens14$1,915$91
Imaging of optic nerve56$1,601$26
New patient complete exam of visual system17$1,425$84
Exam of visual field with extended testing18$689$38

2013: 7 services

Original Medicare services billed in 2013
Established patient complete exam of visual system202$14,506$72
Photography of the retina63$2,973$46
Short return visit (20+ min)50$2,916$45
New patient complete exam of visual system17$1,315$77
Imaging of optic nerve35$1,063$28
Imaging of retina32$1,003$30
Exam of visual field with extended testing16$811$43

Medicaid work

$1,155 in 2023

Medicaid paid $1,155 for 61 billed services this clinician did in 2023, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST15$989
DETERMINATION REFRACTIVE STATE46$166
Medicaid work by year
202361217$1,155
202212112$75
202139119$30
202015115$60
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
DETERMINATION REFRACTIVE STATE12$75

2021

Largest Medicaid services in 2021
DETERMINATION REFRACTIVE STATE39$30

2020

Largest Medicaid services in 2020
DETERMINATION REFRACTIVE STATE15$60

Drugs they prescribed that Part D paid

$32,663

Pharmacies billed $32,663 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 287) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

192 generic and 95 brand-name prescriptions · $32,663 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Xiidra19$17,387$915
Alrex11$4,706$428
Alphagan P15$3,000$200
Fluorometholone23$1,539$67
Latanoprost126$1,301$10
See all 8 drugs
Every Part D drug this clinician prescribed
Xiidra19$17,387$915
Alrex11$4,706$428
Alphagan P15$3,000$200
Fluorometholone23$1,539$67
Latanoprost126$1,301$10
Neomycin-Polymyxin-Dexameth21$266$13
Brimonidine16$94$6
Dorzolamide-Timolol16$52$3

Year by year

Part D prescribing by year
2024287710% (0)33%$32,663
2023265560% (0)33%$14,805
2022268430% (0)38%$20,317
2021233530% (0)48%$20,383
2020182440% (0)43%$12,155
2019172470% (0)52%$17,313
2018154380% (0)44%$12,496
2017149360% (0)45%$19,421
2016164410% (0)43%$15,521
2015160320% (0)45%$13,173
2014160290% (0)53%$14,321
2013180400% (0)60%$16,927

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Alphagan P14$2,919$209
Latanoprost138$2,298$17
Brimonidine Tartrate-Timolol12$2,131$178
Fluorometholone15$1,224$82
Doxycycline Hyclate12$551$46
Dorzolamide11$410$37
Neomycin-Polymyxin-Dexameth11$149$14
Dorzolamide-Timolol13$89$7

2022: 6 drugs

Part D drugs prescribed in 2022
Alphagan P14$2,781$199
Latanoprost138$1,604$12
Fluorometholone17$1,384$81
Dorzolamide24$442$18
Brimonidine14$269$19
Dorzolamide-Timolol11$153$14

2021: 6 drugs

Part D drugs prescribed in 2021
Alrex14$4,245$303
Alphagan P15$2,838$189
Timolol Maleate17$2,337$137
Latanoprost113$1,926$17
Fluorometholone15$1,175$78
Dorzolamide15$400$27

2020: 3 drugs

Part D drugs prescribed in 2020
Alrex20$5,882$294
Latanoprost89$1,703$19
Dorzolamide16$313$20

2019: 4 drugs

Part D drugs prescribed in 2019
Alrex20$4,804$240
Latanoprost67$1,243$19
Dorzolamide13$284$22
Timolol Maleate12$268$22

2018: 6 drugs

Part D drugs prescribed in 2018
Alrex11$2,376$216
Latanoprost47$821$17
Brimonidine12$661$55
Dorzolamide-Timolol14$248$18
Timolol Maleate15$201$13
Dorzolamide14$161$12

2017: 4 drugs

Part D drugs prescribed in 2017
Alrex24$4,788$199
Travatan Z12$3,193$266
Latanoprost40$891$22
Dorzolamide-Timolol15$270$18

2016: 4 drugs

Part D drugs prescribed in 2016
Alrex31$6,205$200
Latanoprost57$1,113$20
Dorzolamide-Timolol12$254$21
Dorzolamide13$208$16

2015: 4 drugs

Part D drugs prescribed in 2015
Alrex24$4,376$182
Latanoprost61$922$15
Dorzolamide-Timolol17$420$25
Brimonidine13$181$14

2014: 4 drugs

Part D drugs prescribed in 2014
Alrex31$4,995$161
Lumigan14$2,595$185
Latanoprost46$734$16
Brimonidine17$403$24

2013: 7 drugs

Part D drugs prescribed in 2013
Alrex34$5,086$150
Travatan Z19$3,687$194
Lumigan22$3,082$140
Combigan11$1,065$97
Dorzolamide-Timolol19$548$29
Latanoprost22$513$23
Brimonidine19$299$16

Money from drug and device companies

$218 in 2025

Industry payments by year
202524None$218
2024315None$246
202334None$125
202215None$65
202113None$36
202022None$35
201922None$36

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Alcon VisionClareon$180
3 payments
  • Meals for Clareon · 2025-07-10 · $139
  • Meals for Precision7 · 2025-07-09 · $22
  • Meals for Precision7 · 2025-01-08 · $18
CooperVisionClariti Contact Lens$38
1 payment
  • Meals for Clariti Contact Lens · 2025-04-25 · $38
See all 4 published payments
Every published payment
Alcon VisionMeals · 2025-07-10Clareon$139
Alcon VisionMeals · 2025-07-09Precision7$22
CooperVisionMeals · 2025-04-25Clariti Contact Lens$38
Alcon VisionMeals · 2025-01-08Precision7$18
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $246

Payments by company in 2024
CooperVisionMyday Contact Lens$189
13 payments
  • Meals for Myday Contact Lens · 2024-11-22 · $55
  • Meals for Clariti Contact Lens · 2024-10-23 · $14
  • Meals for Myday Contact Lens · 2024-10-08 · $13
  • Meals for Myday Contact Lens · 2024-09-07 · $10
  • Meals for Myday Contact Lens · 2024-09-04 · $5
  • Meals for Biofinity Contact Lens · 2024-08-07 · $6
  • Meals for Clariti Contact Lens · 2024-07-24 · $11
  • Meals for Myday Contact Lens · 2024-06-11 · $5
  • Meals for Clariti Contact Lens · 2024-04-29 · $5
  • Meals for Myday Contact Lens · 2024-03-15 · $15
  • Meals for Myday Contact Lens · 2024-02-21 · $10
  • Meals for Myday Contact Lens · 2024-01-19 · $11
  • Meals for Myday Contact Lens · 2024-01-17 · $28
Alcon VisionTotal30$33
1 payment
  • Meals for Total30 · 2024-03-25 · $33
Bausch & Lomb AmericasInfuse$24
1 payment
  • Meals for Infuse · 2024-12-17 · $24

2023: $125

Payments by company in 2023
CooperVisionMyday Contact Lens$70
2 payments
  • Meals for Myday Contact Lens · 2023-09-20 · $56
  • Meals for Myday Contact Lens · 2023-04-12 · $14
Alcon VisionTotal30$32
1 payment
  • Meals for Total30 · 2023-11-01 · $32
Bausch & Lomb AmericasVyzulta$23
1 payment
  • Meals for Vyzulta · 2023-11-06 · $23

2022: $65

Payments by company in 2022
CooperVisionMyday Contact Lens$65
5 payments
  • Meals for Myday Contact Lens · 2022-12-21 · $16
  • Meals for Myday Contact Lens · 2022-11-22 · $12
  • Meals for Myday Contact Lens · 2022-08-19 · $13
  • Meals for Myday Contact Lens · 2022-08-18 · $12
  • Meals for Myday Contact Lens · 2022-05-31 · $12

2021: $36

Payments by company in 2021
CooperVisionMultiple Brands Contact Lens$36
3 payments
  • Meals for Multiple Brands Contact Lens · 2021-08-19 · $11
  • Meals for Multiple Brands Contact Lens · 2021-05-20 · $12
  • Meals for Multiple Brands Contact Lens · 2021-03-02 · $12

2020: $35

Payments by company in 2020
Alcon VisionPrecision 1$18
1 payment
  • Meals for Precision 1 · 2020-02-15 · $18
Carl Zeiss MeditecNone Specified$17
1 payment
  • Gift for None Specified · 2020-06-03 · $17

2019: $36

Payments by company in 2019
CooperVisionBiofinity Contact Lens$20
1 payment
  • Meals for Biofinity Contact Lens · 2019-11-15 · $20
Carl Zeiss MeditecClarus 500 Fundus Camera$16
1 payment
  • Meals for Clarus 500 Fundus Camera · 2019-03-20 · $16

Professional record

NPI
1689655169
Licence
IA 01875
Trained
University of Houston - College of Optometry, 1988
Gender
Male
More record details
Sole proprietor
Yes
Medicaid ID
IA 0270231
Taxonomy
Federal specialty code 152W00000X (152W00000X)
Mailing address
201 S. Clinton, Iowa City, IA, 52240
NPI first listed
2005-11-10
NPI last updated
2024-10-09
NPI record certified
2024-10-09

This is when the NPI record was last certified, not a medical board exam.