Medicare Data on Physicians

Gary P Luppens M.D. (Ophthalmology)

Individual Data

101 Milford St
Salisbury 21804-6952 MD US

Accepts Medicare patients

NPI Number: 1215099759

View other providers of Ophthalmology in 21804


Description Number Unique Unique/Day Allowed amount Submitted std Payment std
After cataract laser surgery 63 55 63 316.309 357.937 47.314 240.293 44.746
Cataract surgery complex 24 21 24 1017.074 1150 0 808.996 102.65
Cataract surg w/iol 1 stage 318 218 317 733.24 1151.233 86.005 577.435 79.353
Cataract surg w/iol 1 stage 37 24 36 103.713 147.297 298.625 82.972 149.214
Echo exam of eye thickness 31 24 25 12.024 12.097 3.97 9.617 3.189
Echo exam of eye 35 23 35 31.22 100 0 24.98 0
Eye exam new patient 64 64 64 147.528 149.375 2.147 89.883 43.747
Eye exam established pat 625 544 625 84.612 84.88 0.588 55.827 24.481
Eye exam & treatment 1458 1442 1457 122.523 123.835 0.98 80.6 35.074
Special eye evaluation 57 54 57 27.116 50 0 19.784 5.182
Visual field examination(s) 577 429 439 70.087 72.149 26.551 54.926 21.533
Cmptr ophth img optic nerve 509 367 380 34.362 37.328 13.456 25.493 11.044
Cptr ophth dx img post segmt 100 70 77 35.441 38.5 13.334 27.427 10.612
Ophthalmic biometry 285 217 285 67.08 100.175 2.087 52.085 23.504
Eye exam with photos 26 12 13 141.25 150 0 113 0
Eye exam with photos 35 35 35 70.07 80 0 54.734 7.73
Internal eye photography 17 17 17 112.51 150 0 89.729 1.125
Office/outpatient visit new 76 76 76 162.896 164.868 0.8 113.571 38.439
Office/outpatient visit est 36 36 36 43.58 45 0 30.018 12.056
Office/outpatient visit est 364 259 364 71.975 72.962 0.275 52.807 14.947
Office/outpatient visit est 42 42 42 106.383 107 0 83.003 9.411

Explanation of columns

  • Number: Number of services provided; note that the metrics used to count the number provided can vary from service to service.
  • Unique: Number of distinct Medicare beneficiaries (patients) receiving the service.
  • Unique / day: Number of distinct Medicare beneficiary/per day services. Since a given beneficiary may receive multiple services of the same type (e.g., single vs. multiple cardiac stents) on a single day, this metric removes double-counting from the line service count to identify whether a unique service occurred.
  • Allowed amount: Average of the Medicare allowed amount for the service; this figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.
  • Submitted: Average of the charges that the provider submitted for the service.
  • Payment: Average amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item service.