Active NPI 1366540817 Individual Practitioner Male Practitioner

Dr. Rulx Ganthier , MD

Ophthalmology • Sebring, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rulx Ganthier, MD is a certified Ophthalmology practicing in Sebring, FL. With approximately 40 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1986, Dr. Ganthier delivers high-quality medical care to the local community at 801 US HIGHWAY 27 S.

Dr. Ganthier accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Us Highway 27 S

Sebring, FL 338702173

Telephone 8634713937

Associated Practice Facility / Clinic

🏢 Highlands Eye Institute Pa Facility NPI 1861590309

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +17.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Sebring, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ganthier (40 Years) 40 Yrs

Sebring Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	934	562	$254.89	$40.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	879	537	$204.86	$131.67
99213 Established patient office or other outpatient visit, typically 15 minutes	678	358	$150.15	$93.35
92250 Photography of the retina	529	527	$200.00	$37.32
68761 Closure of tear duct opening using plug	390	110	$250.00	$110.31
92083 Exam of visual field with extended testing	290	275	$200.47	$63.23
67028 Injection of drug into eye	232	58	$375.00	$114.57
J7999 Compounded drug, not otherwise classified	232	58	$78.15	$75.71
92133 Imaging of optic nerve	232	232	$254.76	$33.72
92202 Extended exam of the back part of the eye with optic nerve drawing	161	64	$85.22	$15.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$269.14	$172.98
67820 Removal of eyelashes using forceps	32	13	$191.88	$23.00
66710 Destruction of lens tissue using laser	30	21	$1005.00	$399.29
92285 Photography of content of eyes	22	21	$161.82	$23.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$243.08	$183.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,041	591	$254.95	$39.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	866	530	$204.94	$127.31
99213 Established patient office or other outpatient visit, typically 15 minutes	826	409	$150.07	$89.93
92250 Photography of the retina	541	536	$200.00	$36.59
67028 Injection of drug into eye	345	73	$375.00	$111.63
68761 Closure of tear duct opening using plug	315	95	$253.02	$106.33
J7999 Compounded drug, not otherwise classified	296	68	$65.00	$63.98
92083 Exam of visual field with extended testing	282	259	$199.57	$60.73
92202 Extended exam of the back part of the eye with optic nerve drawing	246	76	$85.00	$15.39
92133 Imaging of optic nerve	236	232	$255.00	$33.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$269.26	$166.95
J3490 Unclassified drugs	52	43	$65.00	$64.03
67820 Removal of eyelashes using forceps	34	17	$131.91	$22.58
92285 Photography of content of eyes	27	27	$160.00	$22.48
66710 Destruction of lens tissue using laser	25	16	$1000.00	$384.21
66821 Removal of recurring cataract in lens capsule using a laser	20	17	$950.00	$304.72
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$80.00	$27.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,151	648	$255.00	$40.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	986	589	$204.94	$128.41
99213 Established patient office or other outpatient visit, typically 15 minutes	878	435	$150.00	$91.16
92250 Photography of the retina	596	593	$200.00	$36.74
67028 Injection of drug into eye	417	82	$374.38	$112.55
J3490 Unclassified drugs	410	81	$65.00	$64.39
92202 Extended exam of the back part of the eye with optic nerve drawing	278	85	$85.00	$15.73
92083 Exam of visual field with extended testing	271	261	$200.00	$61.43
68761 Closure of tear duct opening using plug	270	75	$250.00	$106.96
92133 Imaging of optic nerve	242	242	$255.00	$33.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$270.00	$169.27
67515 Injection of medication or substance into membrane covering eyeball	61	23	$185.00	$31.37
67820 Removal of eyelashes using forceps	40	15	$146.25	$22.91
66710 Destruction of lens tissue using laser	40	24	$1000.00	$388.03
92285 Photography of content of eyes	24	21	$160.00	$22.63
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$80.00	$27.76
92201 Extended exam of the back part of the eye with retinal drawing	13	12	$90.00	$24.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	11	$15.00	$1.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,237	682	$254.96	$40.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	729	470	$204.71	$131.52
99213 Established patient office or other outpatient visit, typically 15 minutes	677	408	$149.31	$92.62
92250 Photography of the retina	642	639	$200.00	$38.90
92014 Established patient complete exam of visual system	641	427	$200.00	$125.65
67028 Injection of drug into eye	416	79	$375.00	$114.05
J3490 Unclassified drugs	397	76	$65.00	$65.00
68761 Closure of tear duct opening using plug	309	74	$250.00	$106.86
92083 Exam of visual field with extended testing	309	298	$200.00	$62.43
92202 Extended exam of the back part of the eye with optic nerve drawing	296	93	$85.00	$16.01
92133 Imaging of optic nerve	271	271	$255.00	$34.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$270.00	$170.14
67515 Injection of medication or substance into membrane covering eyeball	69	17	$185.00	$29.02
92285 Photography of content of eyes	34	33	$160.00	$22.67
67820 Removal of eyelashes using forceps	32	14	$125.78	$22.63
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$80.00	$27.83
66710 Destruction of lens tissue using laser	28	18	$1000.00	$392.94
92201 Extended exam of the back part of the eye with retinal drawing	19	18	$90.00	$25.12
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$950.00	$294.49
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$750.00	$210.84
15823 Removal of excessive skin and fat of upper eyelid	12	12	$2200.00	$835.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,067	691	$200.07	$125.57
92134 Imaging of retina	1,113	634	$255.00	$40.74
92250 Photography of the retina	618	614	$200.09	$44.61
67028 Injection of drug into eye	419	83	$375.00	$102.60
J3490 Unclassified drugs	390	81	$65.00	$52.33
92083 Exam of visual field with extended testing	338	320	$200.00	$62.41
68761 Closure of tear duct opening using plug	288	74	$249.53	$107.74
92133 Imaging of optic nerve	279	279	$254.80	$34.40
92202 Extended exam of the back part of the eye with optic nerve drawing	220	85	$85.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$268.95	$167.80
67515 Injection of medication or substance into membrane covering eyeball	58	20	$185.00	$37.91
66710 Destruction of lens tissue using laser	47	29	$984.04	$394.84
92201 Extended exam of the back part of the eye with retinal drawing	45	33	$89.44	$25.48
92020 Examination of cornea and iris using lens device and slit lamp	29	29	$80.00	$27.73
92285 Photography of content of eyes	27	22	$161.48	$21.74
65222 Removal of foreign body, external eye, cornea with slit lamp examination	24	20	$215.00	$69.44
67820 Removal of eyelashes using forceps	24	19	$119.79	$26.75
92235 Exam of retinal blood vessels using a special camera after injection of a dye	21	20	$400.00	$102.05
66821 Removal of recurring cataract in lens capsule using a laser	21	17	$950.00	$299.62
92004 New patient complete exam of visual system	15	15	$210.00	$148.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,247	769	$200.01	$125.59
92134 Imaging of retina	1,218	703	$255.00	$40.77
92250 Photography of the retina	681	679	$200.08	$49.66
92226 Examination of eye by ophthalmoscope with retinal drawing	573	506	$89.77	$50.49
67028 Injection of drug into eye	490	103	$375.00	$102.81
J3490 Unclassified drugs	480	101	$65.00	$49.22
68761 Closure of tear duct opening using plug	438	91	$250.00	$106.70
92083 Exam of visual field with extended testing	362	341	$210.26	$63.19
92133 Imaging of optic nerve	303	301	$254.27	$34.17
92004 New patient complete exam of visual system	153	153	$210.00	$150.18
67515 Injection of medication or substance into membrane covering eyeball	99	32	$185.00	$45.36
92225 Examination of eye by ophthalmoscope with retinal drawing	95	95	$136.11	$54.77
66821 Removal of recurring cataract in lens capsule using a laser	38	27	$950.00	$299.64
92285 Photography of content of eyes	32	29	$160.00	$21.28
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$80.00	$27.51
92235 Exam of retinal blood vessels using a special camera after injection of a dye	30	29	$400.00	$90.35
92071 Fitting of contact lens for treatment of eye surface disease	22	16	$100.00	$38.01
67820 Removal of eyelashes using forceps	22	13	$124.09	$33.46
66710 Destruction of lens tissue using laser	19	13	$1000.00	$397.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	11	$15.00	$1.58
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	12	12	$1200.00	$459.78
65222 Removal of foreign body, external eye, cornea with slit lamp examination	12	12	$215.00	$68.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,338	782	$200.02	$123.72
92134 Imaging of retina	1,319	720	$255.00	$40.84
92250 Photography of the retina	739	712	$199.84	$55.21
67028 Injection of drug into eye	570	114	$375.00	$101.86
92226 Examination of eye by ophthalmoscope with retinal drawing	569	503	$89.66	$48.93
J3490 Unclassified drugs	562	112	$65.00	$49.21
68761 Closure of tear duct opening using plug	552	96	$250.00	$105.87
92083 Exam of visual field with extended testing	368	357	$279.25	$62.33
92133 Imaging of optic nerve	319	319	$254.40	$34.15
92004 New patient complete exam of visual system	162	162	$210.00	$148.53
92225 Examination of eye by ophthalmoscope with retinal drawing	138	138	$138.62	$52.98
67515 Injection of medication or substance into membrane covering eyeball	108	31	$188.52	$55.18
92020 Examination of cornea and iris using lens device and slit lamp	42	42	$80.00	$25.77
92235 Exam of retinal blood vessels using a special camera after injection of a dye	34	33	$400.00	$84.00
66821 Removal of recurring cataract in lens capsule using a laser	33	24	$950.00	$296.19
92285 Photography of content of eyes	32	28	$160.00	$20.31
67820 Removal of eyelashes using forceps	22	15	$120.23	$40.56
66710 Destruction of lens tissue using laser	21	15	$1000.00	$392.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	11	$15.00	$1.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	2,147	781	$200.00	$120.80
92134 Imaging of retina	998	629	$255.00	$40.10
68761 Closure of tear duct opening using plug	708	122	$250.00	$103.46
92226 Examination of eye by ophthalmoscope with retinal drawing	601	525	$87.68	$47.03
92250 Photography of the retina	595	588	$200.00	$63.39
67028 Injection of drug into eye	517	109	$375.00	$101.35
J3490 Unclassified drugs	505	107	$65.00	$49.22
92235 Exam of retinal blood vessels using a special camera after injection of a dye	475	471	$400.00	$75.09
92083 Exam of visual field with extended testing	314	309	$280.00	$62.35
92133 Imaging of optic nerve	282	282	$255.00	$33.91
92004 New patient complete exam of visual system	177	177	$210.00	$145.89
92225 Examination of eye by ophthalmoscope with retinal drawing	153	153	$136.80	$50.76
66821 Removal of recurring cataract in lens capsule using a laser	41	29	$950.00	$292.70
92285 Photography of content of eyes	39	39	$160.00	$20.21
92020 Examination of cornea and iris using lens device and slit lamp	34	34	$80.00	$26.41
67515 Injection of medication or substance into membrane covering eyeball	32	15	$185.00	$60.23
92012 Established patient problem focused exam of visual system	25	25	$131.00	$83.98
66710 Destruction of lens tissue using laser	24	17	$1000.00	$389.26
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid	18	17	$1200.00	$400.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$95.00	$72.00
67820 Removal of eyelashes using forceps	11	11	$115.00	$49.58

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME59558

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2007

Registered at 801 US HIGHWAY 27 S, SEBRING, FL 338702173 (Tel: 8634713937)

📍

Updated Business Mailing Address July 17, 2007

Registered at 801 US HIGHWAY 27 S, SEBRING, FL 338702173 (Tel: 8634713937)

👤

Provider Name / Credentials Updated July 17, 2007

Recorded as RULX GANTHIER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Ophthalmology (License #ME59558 in FL)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366540817

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: July 17, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Us Highway 27 S

Sebring, FL 338702173

Phone: 8634713937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.