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Original Medicare doctor bills
$88,679
Medicare paid this office $88,679 for 806 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 system
338
$28,946
$86
Short return visit (20+ min)
250
$18,674
$65
New patient complete exam of visual system
114
$11,250
$99
Return visit (30+ min)
55
$6,754
$98
New patient visit (30+ min)
83
$6,532
$79
See all 12 services
Every Original Medicare service billed
Established patient complete exam of visual system
338
$28,946
$86
Short return visit (20+ min)
250
$18,674
$65
New patient complete exam of visual system
114
$11,250
$99
Return visit (30+ min)
55
$6,754
$98
New patient visit (30+ min)
83
$6,532
$79
Imaging of optic nerve
175
$5,124
$28
Imaging of retina
97
$3,735
$33
Exam of visual field with extended testing
49
$2,925
$53
New patient visit (45+ min)
27
$2,670
$99
Established patient problem focused exam of visual system
14
$793
$57
Ultrasound scan of cornea to determine thickness
54
$435
$8
Removal of eyelashes using forceps
19
$285
$14
Who their Medicare patients are
806 Original Medicare patients in 2024. Average age 75 · Under 65 3% · 85 and older 9% · Women 63% · Also on Medicaid 10% · Health risk score 0.90. At or below the middle of the specialty; the typical optometry clinician is at 0.97.
The office billed $463,067, Medicare allowed $137,981 and paid $88,679; for 1,377 services of 16 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
2024
806
1,377
75
0.90
$463,067
$88,679
2023
671
1,061
74
0.85
$371,559
$79,845
2022
537
774
74
0.84
$267,195
$58,078
2021
575
834
74
0.75
$280,078
$62,913
2020
504
752
73
0.81
$240,402
$54,622
2019
584
838
73
0.80
$287,090
$63,158
2018
551
805
73
0.84
$272,606
$58,567
2017
518
733
72
0.82
$247,221
$51,904
2016
467
579
72
0.82
$201,248
$41,066
2015
444
550
72
0.82
$203,187
$42,822
2014
462
616
72
0.78
$221,199
$45,040
2013
445
521
71
0.82
$200,251
$41,580
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: 10 services
Original Medicare services billed in 2023
Established patient complete exam of visual system
392
$36,765
$93
New patient complete exam of visual system
98
$11,508
$117
Short return visit (20+ min)
137
$11,010
$71
Return visit (30+ min)
46
$5,714
$110
Imaging of optic nerve
123
$3,709
$29
Exam of visual field with extended testing
46
$2,776
$53
New patient visit (30+ min)
35
$2,659
$76
Imaging of retina
74
$2,467
$31
New patient visit (45+ min)
14
$1,389
$99
Established patient problem focused exam of visual system
17
$1,212
$71
2022: 9 services
Original Medicare services billed in 2022
Established patient complete exam of visual system
332
$32,616
$96
New patient complete exam of visual system
92
$8,903
$97
Short return visit (20+ min)
73
$6,136
$64
Imaging of optic nerve
75
$2,313
$30
New patient visit (30+ min)
26
$2,029
$78
Exam of visual field with extended testing
37
$2,003
$50
Established patient problem focused exam of visual system
22
$1,706
$78
Imaging of retina
39
$1,347
$31
Ultrasound scan of cornea to determine thickness
11
$106
$10
2021: 11 services
Original Medicare services billed in 2021
Established patient complete exam of visual system
333
$32,018
$96
New patient complete exam of visual system
103
$10,866
$105
Short return visit (20+ min)
92
$8,090
$72
Imaging of optic nerve
86
$2,615
$30
Exam of visual field with extended testing
39
$2,011
$50
New patient visit (30+ min)
22
$1,616
$73
Imaging of retina
33
$1,256
$33
Short return visit
28
$1,252
$43
Established patient problem focused exam of visual system
16
$1,076
$67
New patient visit (15+ min)
16
$656
$41
Ultrasound scan of cornea to determine thickness
11
$98
$9
2020: 10 services
Original Medicare services billed in 2020
Established patient complete exam of visual system
284
$26,792
$94
New patient complete exam of visual system
95
$10,753
$113
Short return visit (20+ min)
73
$5,960
$61
New patient visit (15+ min)
43
$2,501
$58
Imaging of optic nerve
83
$2,472
$29
Exam of visual field with extended testing
35
$1,931
$52
Imaging of retina
30
$1,071
$36
Short return visit
19
$638
$32
Removal of eyelashes using forceps
14
$288
$21
Ultrasound scan of cornea to determine thickness
12
$111
$9
2019: 9 services
Original Medicare services billed in 2019
Established patient complete exam of visual system
353
$33,551
$95
New patient complete exam of visual system
122
$13,317
$109
Short return visit (20+ min)
83
$5,760
$56
Imaging of optic nerve
105
$3,186
$29
Exam of visual field with extended testing
43
$2,296
$51
Established patient problem focused exam of visual system
28
$1,793
$62
New patient visit (15+ min)
17
$1,005
$59
Short return visit
22
$799
$36
Imaging of retina
16
$491
$31
2018: 9 services
Original Medicare services billed in 2018
Established patient complete exam of visual system
362
$32,845
$89
New patient complete exam of visual system
113
$12,518
$111
Short return visit (20+ min)
64
$4,287
$48
Imaging of optic nerve
92
$2,927
$32
Exam of visual field with extended testing
35
$1,866
$49
Imaging of retina
47
$1,551
$31
Established patient problem focused exam of visual system
18
$1,289
$72
Short return visit
13
$413
$32
New patient visit (15+ min)
13
$382
$29
2017: 8 services
Original Medicare services billed in 2017
Established patient complete exam of visual system
327
$28,094
$85
New patient complete exam of visual system
109
$11,809
$108
Short return visit (20+ min)
60
$3,611
$48
Exam of visual field with extended testing
41
$2,226
$49
Imaging of optic nerve
64
$1,897
$30
Imaging of retina
47
$1,563
$32
Short return visit
20
$782
$36
New patient visit (15+ min)
13
$711
$55
2016: 8 services
Original Medicare services billed in 2016
Established patient complete exam of visual system
276
$23,275
$84
New patient complete exam of visual system
98
$8,900
$91
Short return visit (20+ min)
60
$3,713
$49
Exam of visual field with extended testing
25
$1,225
$47
Imaging of optic nerve
19
$626
$33
New patient visit (15+ min)
12
$614
$51
Imaging of retina
15
$558
$37
Short return visit
18
$492
$27
2015: 8 services
Original Medicare services billed in 2015
Established patient complete exam of visual system
257
$23,217
$90
New patient complete exam of visual system
110
$11,066
$101
Short return visit (20+ min)
47
$3,009
$54
Established patient problem focused exam of visual system
18
$1,117
$62
Exam of visual field with extended testing
19
$1,051
$53
Imaging of optic nerve
17
$625
$37
Short return visit
20
$563
$26
Imaging of retina
14
$549
$39
2014: 9 services
Original Medicare services billed in 2014
Established patient complete exam of visual system
278
$24,425
$86
New patient complete exam of visual system
105
$10,071
$96
Short return visit (20+ min)
52
$3,054
$54
New patient problem focused exam of visual system
27
$1,518
$56
Established patient problem focused exam of visual system
20
$1,431
$72
Exam of visual field with extended testing
21
$1,058
$46
Imaging of retina
24
$925
$37
Short return visit
26
$873
$29
Imaging of optic nerve
23
$851
$37
2013: 7 services
Original Medicare services billed in 2013
Established patient complete exam of visual system
238
$21,391
$88
New patient complete exam of visual system
124
$12,968
$105
New patient problem focused exam of visual system
44
$2,312
$53
Established patient problem focused exam of visual system
25
$1,447
$58
Short return visit (20+ min)
15
$1,015
$56
Exam of visual field with extended testing
17
$890
$47
Short return visit
21
$759
$32
Medicaid work
$3,603 in 2023
Medicaid paid $3,603 for 127 billed services this clinician did in 2023, up to 20 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
DETERMINATION REFRACTIVE STATE
93
$3,302
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
34
$302
Medicaid work by year
2023
127
2
20
$3,603
2022
233
2
26
$3,412
2021
457
3
35
$8,507
2020
555
3
36
$11,527
2019
356
3
30
$6,297
2018
379
3
34
$7,061
See the largest Medicaid services in earlier years
2022
Largest Medicaid services in 2022
DETERMINATION REFRACTIVE STATE
190
$2,431
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
43
$982
2021
Largest Medicaid services in 2021
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
135
$4,784
DETERMINATION REFRACTIVE STATE
272
$1,958
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
50
$1,766
2020
Largest Medicaid services in 2020
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
145
$5,148
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
121
$4,296
DETERMINATION REFRACTIVE STATE
289
$2,084
2019
Largest Medicaid services in 2019
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
116
$4,118
DETERMINATION REFRACTIVE STATE
224
$1,611
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
16
$568
2018
Largest Medicaid services in 2018
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
90
$3,195
OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
63
$2,237
DETERMINATION REFRACTIVE STATE
226
$1,629
Drugs they prescribed that Part D paid
$61,395
Pharmacies billed $61,395 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 136) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.
59 generic and 77 brand-name prescriptions · $61,395 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
Cyclosporine
41
$29,826
$727
Restasis
14
$25,755
$1,840
Loteprednol Etabonate
11
$1,005
$91
Erythromycin
32
$335
$10
Year by year
Part D prescribing by year
2024
136
74
0% (0)
57%
$61,395
2023
104
67
0% (0)
48%
$72,643
2022
111
66
0% (0)
57%
$73,172
2021
121
78
0% (0)
49%
$65,090
2020
176
88
0% (0)
39%
$68,018
2019
144
78
0% (0)
53%
$62,331
2018
94
54
0% (0)
61%
$54,754
2017
70
47
0% (0)
71%
$48,881
2016
74
48
0% (0)
69%
$38,410
2015
80
45
0% (0)
53%
$28,211
2014
102
51
0% (0)
63%
$33,371
2013
86
51
0% (0)
66%
$24,306
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.