NICHOLAS F HRISOMALOS MD PC
NPI: 1508277542
· INDIANAPOLIS, IN 46290
· Retina Specialist (Ophthalmology) Physician
· NPI assigned 05/13/2014
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, STEFNIE (OFFICE MANAGER) |
| NPI Enumeration Date | 05/13/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
162 |
$335.97 |
| 2019 |
271 |
$2K |
| 2020 |
445 |
$9K |
| 2021 |
727 |
$18K |
| 2022 |
1,665 |
$38K |
| 2023 |
2,098 |
$38K |
| 2024 |
1,172 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,901 |
1,385 |
$55K |
| 92134 |
|
3,398 |
2,450 |
$36K |
| J9035 |
Injection, bevacizumab, 10 mg |
672 |
339 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
217 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
89 |
$6K |
| J3590 |
Unclassified biologics |
142 |
68 |
$1K |