Medicare Data on Physicians

James A Rial M.D. (Ophthalmology)

Individual Data

31455 Winterplace Pkwy
Salisbury 21804-1891 MD US

Accepts Medicare patients

NPI Number: 1841293826

View other providers of Ophthalmology in 21804


Description Number Unique Unique/Day Allowed amount Submitted std Payment std
Injection eye drug 2332 433 2331 116.045 572.406 24.865 91.425 8.577
Removal of inner eye fluid 13 13 13 958.65 2400 0 766.92 0
Vit for macular pucker 27 27 27 1323.26 3200 0 1058.61 0
Vit for macular hole 15 15 15 1512.18 3500 0 1209.74 0
Repair retinal detach cplx 23 20 23 1720.423 4000 0 1371.471 87.312
Treatment of retina 39 37 39 519.573 1160.256 119.925 404.045 54.44
Treatment of retinal lesion 285 177 285 526.602 1545.439 265.826 405.479 67.786
Treatment of retinal lesion 107 65 107 1044.883 1816.355 235.889 819.333 104.982
Ophth us b w/non-quant a 90 55 90 94.388 176 19.596 71.995 14.678
Eye exam new patient 138 137 138 146.357 175.217 10.982 113.182 17.743
Eye exam established pat 338 318 338 83.684 94.586 13.989 58.906 20.781
Eye exam & treatment 573 547 573 121.297 148.089 12.632 93.573 16.187
Special eye evaluation 62 40 62 26.773 84.677 23.051 21.42 0.079
Cptr ophth dx img post segmt 2601 1212 2601 45.481 119.175 36.901 34.534 7.742
Special eye exam initial 731 368 374 26.386 66.265 8.446 20.735 2.961
Special eye exam subsequent 1274 551 671 23.841 56.876 11.187 18.746 2.706
Eye exam with photos 2522 914 1268 140.359 200.397 11.52 111.347 11.886
Eye exam with photos 1601 1140 1601 70.196 98.129 12.594 54.394 9.1
Office/outpatient visit new 75 75 75 106.256 144.867 8.98 77.546 22.851
Office/outpatient visit new 140 140 140 161.642 196.929 16.153 117.329 31.168
Office/outpatient visit est 4104 1445 4104 71.064 89.885 14.998 51.217 16.438
Office/outpatient visit est 759 607 759 104.982 126.245 17.545 74.581 25.01
Ranibizumab injection 3188 171 650 399.861 420.527 65.885 319.497 14.455
Drugs unclassified injection 94 35 94 1961 2000 0 1563.699 19.524
Unclassified biologics 60 34 60 1961 2000 0 1568.8 0
Bevacizumab injection 1374 249 1374 61.622 70.555 8.989 48.63 5.217
Aflibercept injection 240 40 120 980.5 1000 0 784.4 0

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.