Medicare FFS ophthalmology

Provider service volume comparison

Compare two ophthalmology providers by CY2023 Medicare FFS service volume and CPT/HCPCS mix.

Provider A

Philip T Nelsen, MD

NPI 1982606109 | Toledo, OH

National rank
#1,460
Total services
13,886
VS
Provider B

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Shared CPT/HCPCS0Visible service rows found for both providers
Provider A only21
Provider B only0
Total service gap13,886
Beneficiary gap1,115
Allowed amount gap$3,308,986.34

CPT/HCPCS service volume comparison

Rows compare visible public provider-service lines by Medicare FFS service count.

CPT/HCPCSDescriptionProvider A servicesProvider B servicesAbsolute differenceHigher Medicare FFS service volume
J2777Injection, faricimab-svoa, 0.1 mg
3,600
0
3,600Provider A higher
92134Imaging of retina
2,493
0
2,493Provider A higher
J0178Injection, aflibercept, 1 mg
2,488
0
2,488Provider A higher
67028Injection of drug into eye
1,667
0
1,667Provider A higher
J2781Injection, pegcetacoplan, intravitreal, 1 mg
1,125
0
1,125Provider A higher
92014Established patient complete exam of visual system
765
0
765Provider A higher
99214Established patient office or other outpatient visit, 30-39 minutes
478
0
478Provider A higher
J3590Unclassified biologics
395
0
395Provider A higher
99213Established patient office or other outpatient visit, 20-29 minutes
129
0
129Provider A higher
J3490Unclassified drugs
91
0
91Provider A higher
92250Photography of the retina
90
0
90Provider A higher
92004New patient complete exam of visual system
89
0
89Provider A higher
92235Exam of retinal blood vessels using a special camera after injection of a dye
73
0
73Provider A higher
99204New patient office or other outpatient visit, 45-59 minutes
57
0
57Provider A higher
92012Established patient problem focused exam of visual system
36
0
36Provider A higher
765122d ultrasound scan of eye tissue and structures
21
0
21Provider A higher
67042Removal of membrane of retina with removal of internal limiting membrane of retina
20
0
20Provider A higher
99203New patient office or other outpatient visit, 30-44 minutes
18
0
18Provider A higher
67113Complex repair of detached retina and drainage of eye fluid between lens and retina
17
0
17Provider A higher
67036Removal of eye fluid (vitreous) between lens and retina
15
0
15Provider A higher
99212Established patient office or other outpatient visit, 10-19 minutes
14
0
14Provider A higher
Largest visible gaps5Rows sorted by shared rows first, then service-volume difference
Provider A total payment$2,595,267.55
Provider B total paymentNot available