Active NPI 1386723781 Individual Practitioner Male Practitioner

Dr. Grant Wei-Siang Su , MD

Ophthalmology • Springfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Grant Su, MD is a certified Ophthalmology practicing in Springfield, IL. With approximately 25 years of clinical experience since graduating from Tufts University School Of Medicine in 2001, Dr. Su delivers high-quality medical care to the local community at 301 N 8TH ST.

Dr. Su is affiliated with Springfield Clinic, Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, new patient outpatient office visit, photography of content of eyes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 N 8th St

Springfield, IL 627011041

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Pavilion Pharmacy Llc Facility NPI 1851362230

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +2.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

25 Specialists

Practicing in Springfield, IL (954 Statewide)

Telehealth Adoption Rate

4.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

89.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Su (25 Years) 25 Yrs

Springfield Specialty Average (22.4 Years) 22.4 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
J0585 Injection, onabotulinumtoxina, 1 unit	5,600	23	$13.00	$6.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	293	293	$770.30	$163.84
92285 Photography of content of eyes	268	263	$191.00	$19.51
99213 Established patient office or other outpatient visit, typically 15 minutes	201	156	$412.68	$87.25
92082 Exam of visual field with intermediate testing	162	161	$210.00	$44.45
67875 Temporary closure of eyelids by suture	156	151	$987.00	$49.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	132	$583.11	$125.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$517.65	$106.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	91	83	$4326.00	$523.59
67904 Repair of tendon of upper eyelid	90	86	$8049.00	$703.51
68840 Probing of nasal-tear duct	85	85	$866.16	$156.06
67950 Enlargement of eyelid margin	76	74	$3834.05	$335.65
64612 Injection of chemical for paralysis of nerve muscles on side of face	70	26	$1203.20	$157.96
15823 Removal of excessive skin and fat of upper eyelid	67	67	$10018.39	$779.50
67914 Suture repair of a turning-outward defect of upper or lower eyelid	60	58	$3173.33	$185.40
67840 Removal of eyelid growth	60	57	$1070.55	$252.86
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	38	36	$6685.00	$762.09
68815 Probing of nasal-tear duct with insertion of tube or stent	33	31	$2204.36	$135.42
67924 Extensive repair of turning-inward eyelid defect	29	29	$4535.17	$264.12
68200 Injection into conjunctiva	26	24	$424.96	$17.33
68700 Plastic repair of tear duct	26	26	$4327.62	$665.96
67820 Removal of eyelashes using forceps	26	21	$273.00	$18.01
67840 Removal of eyelid growth	25	24	$1243.64	$90.71
11900 Injection into skin growth, 1-7 growths	24	22	$386.00	$14.82
68811 Insertion of probe into the tear duct under anesthesia	23	23	$967.83	$80.63
68440 Snip incision of tear-drainage opening at inner corner of the eye	20	19	$890.05	$62.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$258.21	$54.70
67810 Biopsy of eyelid	19	18	$785.00	$154.78
92133 Imaging of optic nerve	18	17	$172.50	$32.63
11900 Injection into skin growth, 1-7 growths	16	14	$386.00	$39.58
92083 Exam of visual field with extended testing	16	15	$335.00	$59.60
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	16	16	$18.00	$6.95
68720 Creation of drainage tract from tear sac to the nasal cavity	14	14	$3862.07	$794.12
68110 Removal of (up to 1 centimeter) growth of sclera	12	11	$1352.00	$103.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,608	16	$13.00	$6.24
J0588 Injection, incobotulinumtoxin a, 1 unit	3,284	13	$10.36	$5.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	359	359	$741.00	$161.46
92285 Photography of content of eyes	284	281	$191.00	$19.34
99213 Established patient office or other outpatient visit, typically 15 minutes	236	180	$382.00	$87.37
92082 Exam of visual field with intermediate testing	171	170	$210.00	$43.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	161	$555.00	$123.30
67875 Temporary closure of eyelids by suture	110	106	$930.60	$48.57
68840 Probing of nasal-tear duct	109	105	$802.02	$153.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	92	78	$4326.00	$503.52
67904 Repair of tendon of upper eyelid	82	75	$7329.22	$654.34
67840 Removal of eyelid growth	72	68	$1099.42	$271.18
15823 Removal of excessive skin and fat of upper eyelid	70	69	$9813.26	$755.14
64612 Injection of chemical for paralysis of nerve muscles on side of face	70	22	$1049.60	$157.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$496.00	$109.47
67950 Enlargement of eyelid margin	42	41	$3065.29	$290.39
67820 Removal of eyelashes using forceps	37	25	$280.38	$17.74
67840 Removal of eyelid growth	35	33	$1173.77	$86.49
92133 Imaging of optic nerve	31	27	$170.00	$33.00
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	30	27	$6685.00	$755.85
67924 Extensive repair of turning-inward eyelid defect	27	26	$4414.44	$266.69
67914 Suture repair of a turning-outward defect of upper or lower eyelid	24	23	$2677.50	$166.15
92083 Exam of visual field with extended testing	22	20	$335.00	$59.04
68815 Probing of nasal-tear duct with insertion of tube or stent	21	20	$2556.76	$136.38
68200 Injection into conjunctiva	17	17	$403.41	$16.86
68761 Closure of tear duct opening using plug	16	12	$599.00	$139.15
11900 Injection into skin growth, 1-7 growths	15	15	$386.00	$14.86
92004 New patient complete exam of visual system	15	15	$320.00	$142.65
11900 Injection into skin growth, 1-7 growths	14	13	$386.00	$31.50
67810 Biopsy of eyelid	13	13	$748.00	$175.79
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	13	12	$18.00	$6.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$240.00	$54.59
67808 Removal of eyelid growth under general anesthesia and/or requiring hospitalization	11	11	$1635.00	$271.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	5,237	16	$10.00	$5.01
J0585 Injection, onabotulinumtoxina, 1 unit	3,540	18	$13.00	$6.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	389	389	$661.52	$164.37
92285 Photography of content of eyes	257	257	$191.00	$19.50
99213 Established patient office or other outpatient visit, typically 15 minutes	200	152	$343.19	$88.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	161	$503.69	$124.72
92082 Exam of visual field with intermediate testing	158	158	$210.00	$44.42
67875 Temporary closure of eyelids by suture	125	122	$927.26	$49.00
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	92	79	$4326.00	$482.00
67840 Removal of eyelid growth	91	88	$969.49	$267.94
68840 Probing of nasal-tear duct	88	86	$830.32	$161.69
64612 Injection of chemical for paralysis of nerve muscles on side of face	88	30	$967.27	$164.33
67904 Repair of tendon of upper eyelid	80	77	$7378.25	$688.23
15823 Removal of excessive skin and fat of upper eyelid	62	62	$8981.10	$769.87
67950 Enlargement of eyelid margin	52	50	$3397.04	$322.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$461.17	$110.94
67820 Removal of eyelashes using forceps	45	34	$273.00	$17.62
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	37	34	$6685.00	$772.75
67914 Suture repair of a turning-outward defect of upper or lower eyelid	35	33	$3128.00	$189.21
92133 Imaging of optic nerve	31	28	$170.00	$33.82
68815 Probing of nasal-tear duct with insertion of tube or stent	30	30	$2713.47	$139.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$223.62	$55.38
92083 Exam of visual field with extended testing	25	23	$335.00	$57.68
67840 Removal of eyelid growth	24	20	$1171.75	$93.71
11900 Injection into skin growth, 1-7 growths	22	15	$386.00	$40.12
67924 Extensive repair of turning-inward eyelid defect	22	22	$4670.45	$249.42
68720 Creation of drainage tract from tear sac to the nasal cavity	20	20	$4585.20	$889.23
68200 Injection into conjunctiva	16	16	$428.63	$17.59
67900 Repair of brow paralysis	14	14	$6774.43	$358.82
68811 Insertion of probe into the tear duct under anesthesia	13	13	$1198.46	$84.54
67400 Exploration of cavity behind eye, frontal or transconjunctival approach	12	12	$5341.92	$1023.58
67808 Removal of eyelid growth under general anesthesia and/or requiring hospitalization	12	12	$1635.00	$294.92
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	12	12	$5016.00	$582.45
68110 Removal of (up to 1 centimeter) growth of sclera	11	11	$1206.00	$86.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	6,089	23	$10.00	$5.05
J0585 Injection, onabotulinumtoxina, 1 unit	2,123	12	$12.33	$6.07
92285 Photography of content of eyes	268	262	$191.00	$19.60
92004 New patient complete exam of visual system	192	192	$273.43	$146.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$615.00	$166.08
92082 Exam of visual field with intermediate testing	159	158	$210.00	$45.72
67875 Temporary closure of eyelids by suture	140	130	$972.93	$50.34
92012 Established patient problem focused exam of visual system	137	116	$200.00	$86.33
99213 Established patient office or other outpatient visit, typically 15 minutes	126	114	$318.67	$89.17
68840 Probing of nasal-tear duct	99	95	$813.64	$161.27
67840 Removal of eyelid growth	88	85	$954.00	$270.49
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	86	80	$4326.00	$485.13
64612 Injection of chemical for paralysis of nerve muscles on side of face	78	27	$1240.62	$167.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	72	$461.00	$128.07
15823 Removal of excessive skin and fat of upper eyelid	73	71	$9267.40	$745.97
67950 Enlargement of eyelid margin	65	58	$3454.62	$339.27
67904 Repair of tendon of upper eyelid	64	59	$7629.78	$673.66
92014 Established patient complete exam of visual system	57	57	$265.00	$122.80
67914 Suture repair of a turning-outward defect of upper or lower eyelid	54	47	$2881.48	$187.00
92002 New patient problem focused exam of visual system	45	45	$204.00	$83.52
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	43	40	$6685.00	$773.06
67820 Removal of eyelashes using forceps	32	23	$281.53	$20.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$441.00	$111.08
92133 Imaging of optic nerve	28	28	$170.00	$34.13
68815 Probing of nasal-tear duct with insertion of tube or stent	27	26	$2437.63	$129.97
67840 Removal of eyelid growth	26	19	$954.00	$85.61
67924 Extensive repair of turning-inward eyelid defect	23	23	$5003.48	$314.53
11900 Injection into skin growth, 1-7 growths	19	15	$386.00	$41.99
92083 Exam of visual field with extended testing	18	17	$335.00	$60.85
68440 Snip incision of tear-drainage opening at inner corner of the eye	17	15	$670.35	$55.31
67808 Removal of eyelid growth under general anesthesia and/or requiring hospitalization	17	17	$1635.00	$289.49
68200 Injection into conjunctiva	17	17	$425.82	$15.87
11200 Removal of skin tag, 1-15 skin tags	17	17	$407.00	$72.32
68720 Creation of drainage tract from tear sac to the nasal cavity	16	16	$4776.25	$857.25
11900 Injection into skin growth, 1-7 growths	16	16	$386.00	$15.02
68110 Removal of (up to 1 centimeter) growth of sclera	15	15	$930.00	$201.59
68761 Closure of tear duct opening using plug	14	11	$571.00	$145.52
68110 Removal of (up to 1 centimeter) growth of sclera	14	14	$996.43	$74.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$199.00	$55.00
67400 Exploration of cavity behind eye, frontal or transconjunctival approach	12	11	$5341.92	$1042.74
67800 Removal of eyelid growth	12	12	$566.00	$110.06
67810 Biopsy of eyelid	12	12	$712.00	$174.75
68320 Repair of eyelid lining with graft from external eye	12	11	$4951.33	$404.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0588 Injection, incobotulinumtoxin a, 1 unit	4,175	22	$10.00	$5.02
J0585 Injection, onabotulinumtoxina, 1 unit	1,987	13	$12.00	$6.06
92004 New patient complete exam of visual system	325	325	$246.00	$146.69
92012 Established patient problem focused exam of visual system	237	175	$185.00	$86.00
92285 Photography of content of eyes	209	207	$191.00	$18.56
92082 Exam of visual field with intermediate testing	129	129	$210.00	$45.88
92014 Established patient complete exam of visual system	128	122	$252.89	$122.57
67875 Temporary closure of eyelids by suture	127	120	$999.21	$52.92
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	111	89	$4326.00	$497.49
67840 Removal of eyelid growth	83	79	$954.00	$258.84
68840 Probing of nasal-tear duct	79	78	$829.29	$156.05
15823 Removal of excessive skin and fat of upper eyelid	67	67	$10019.64	$787.79
67950 Enlargement of eyelid margin	61	59	$3779.31	$360.43
64612 Injection of chemical for paralysis of nerve muscles on side of face	54	21	$1211.26	$158.33
67904 Repair of tendon of upper eyelid	54	52	$8545.85	$730.56
67914 Suture repair of a turning-outward defect of upper or lower eyelid	46	44	$3311.30	$198.06
92002 New patient problem focused exam of visual system	40	40	$189.00	$80.83
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	34	31	$6685.00	$807.04
68815 Probing of nasal-tear duct with insertion of tube or stent	33	32	$2466.79	$138.44
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	29	25	$18.00	$7.11
11900 Injection into skin growth, 1-7 growths	24	18	$386.00	$42.88
67820 Removal of eyelashes using forceps	24	20	$273.00	$24.03
67924 Extensive repair of turning-inward eyelid defect	23	19	$4824.78	$266.99
68720 Creation of drainage tract from tear sac to the nasal cavity	23	23	$4485.52	$812.09
92133 Imaging of optic nerve	22	21	$170.00	$35.38
67840 Removal of eyelid growth	21	17	$1044.86	$87.65
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	15	15	$762.00	$158.79
68110 Removal of (up to 1 centimeter) growth of sclera	14	14	$996.43	$187.49
11200 Removal of skin tag, 1-15 skin tags	14	14	$407.00	$68.85
68320 Repair of eyelid lining with graft from external eye	13	13	$5876.31	$554.93
68200 Injection into conjunctiva	11	11	$381.00	$20.73
68440 Snip incision of tear-drainage opening at inner corner of the eye	11	11	$659.27	$55.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	6,000	23	$7.80	$6.03
92004 New patient complete exam of visual system	355	355	$176.11	$146.56
92012 Established patient problem focused exam of visual system	258	197	$105.90	$85.41
92285 Photography of content of eyes	202	200	$46.66	$17.95
92014 Established patient complete exam of visual system	143	140	$141.78	$122.76
92082 Exam of visual field with intermediate testing	141	139	$71.87	$45.34
67875 Temporary closure of eyelids by suture	118	111	$335.58	$52.46
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	88	80	$1880.53	$534.07
67840 Removal of eyelid growth	79	73	$386.50	$262.39
67904 Repair of tendon of upper eyelid	76	72	$2154.75	$654.19
68840 Probing of nasal-tear duct	64	63	$263.30	$150.65
64612 Injection of chemical for paralysis of nerve muscles on side of face	61	23	$412.74	$162.35
15823 Removal of excessive skin and fat of upper eyelid	52	51	$2398.60	$750.48
68815 Probing of nasal-tear duct with insertion of tube or stent	46	45	$816.02	$140.19
67950 Enlargement of eyelid margin	40	37	$1056.12	$428.90
67820 Removal of eyelashes using forceps	39	31	$58.57	$32.08
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	35	32	$1739.46	$797.76
67924 Extensive repair of turning-inward eyelid defect	34	34	$2032.23	$245.91
67914 Suture repair of a turning-outward defect of upper or lower eyelid	34	31	$907.69	$198.19
67840 Removal of eyelid growth	32	27	$434.55	$95.16
92002 New patient problem focused exam of visual system	31	31	$92.14	$81.23
92133 Imaging of optic nerve	30	26	$56.89	$34.87
68720 Creation of drainage tract from tear sac to the nasal cavity	25	25	$1367.69	$780.95
67900 Repair of brow paralysis	21	20	$1568.56	$365.95
68440 Snip incision of tear-drainage opening at inner corner of the eye	21	18	$159.29	$59.73
68200 Injection into conjunctiva	21	21	$85.25	$18.11
92083 Exam of visual field with extended testing	18	16	$82.18	$61.51
67917 Extensive repair of turning-outward eyelid defect	18	17	$869.72	$332.75
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	16	15	$218.39	$150.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	15	14	$9.63	$6.80
67808 Removal of eyelid growth under general anesthesia and/or requiring hospitalization	15	15	$479.53	$314.27
68320 Repair of eyelid lining with graft from external eye	13	13	$1879.63	$562.61
68200 Injection into conjunctiva	13	12	$96.45	$22.01
67400 Exploration of cavity behind eye, frontal or transconjunctival approach	13	13	$2230.48	$1021.57
68110 Removal of (up to 1 centimeter) growth of sclera	12	12	$301.75	$158.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,600	24	$6.78	$6.04
92004 New patient complete exam of visual system	314	314	$159.71	$144.75
92012 Established patient problem focused exam of visual system	286	195	$92.37	$83.88
92285 Photography of content of eyes	200	199	$22.53	$17.17
92082 Exam of visual field with intermediate testing	153	150	$51.78	$45.99
92014 Established patient complete exam of visual system	122	121	$133.76	$120.42
67875 Temporary closure of eyelids by suture	120	105	$208.11	$51.73
67904 Repair of tendon of upper eyelid	93	80	$1025.78	$597.82
15823 Removal of excessive skin and fat of upper eyelid	82	78	$1230.54	$697.24
68840 Probing of nasal-tear duct	65	65	$218.02	$151.09
92002 New patient problem focused exam of visual system	63	63	$87.83	$79.73
67840 Removal of eyelid growth	61	60	$300.86	$261.83
64612 Injection of chemical for paralysis of nerve muscles on side of face	58	24	$206.78	$158.47
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	58	56	$838.55	$553.58
67820 Removal of eyelashes using forceps	46	35	$53.68	$40.73
67924 Extensive repair of turning-inward eyelid defect	36	34	$726.39	$254.95
67950 Enlargement of eyelid margin	35	32	$680.55	$375.07
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	32	29	$1266.67	$829.12
67914 Suture repair of a turning-outward defect of upper or lower eyelid	31	28	$574.71	$174.28
68815 Probing of nasal-tear duct with insertion of tube or stent	28	28	$683.93	$138.84
92133 Imaging of optic nerve	26	23	$39.88	$35.21
67840 Removal of eyelid growth	25	21	$303.10	$94.22
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	23	18	$1071.82	$685.25
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$102.17	$65.72
68320 Repair of eyelid lining with graft from external eye	22	21	$944.07	$476.14
67911 Correction of widely-opened upper eyelid	21	13	$690.80	$366.13
68200 Injection into conjunctiva	17	16	$66.73	$19.52
68720 Creation of drainage tract from tear sac to the nasal cavity	16	16	$914.68	$738.66
68200 Injection into conjunctiva	16	15	$68.13	$17.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	16	15	$8.52	$6.66
67808 Removal of eyelid growth under general anesthesia and/or requiring hospitalization	15	15	$476.89	$275.17
67400 Exploration of cavity behind eye, frontal or transconjunctival approach	14	13	$1066.06	$932.52
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	14	14	$179.78	$151.71
67810 Biopsy of eyelid	13	13	$181.38	$157.90
67917 Extensive repair of turning-outward eyelid defect	12	11	$978.21	$240.43
67800 Removal of eyelid growth	12	12	$169.42	$102.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,300	20	$6.60	$5.88
92004 New patient complete exam of visual system	336	336	$157.52	$142.05
92012 Established patient problem focused exam of visual system	216	157	$89.96	$81.14
92285 Photography of content of eyes	194	190	$22.40	$16.75
92014 Established patient complete exam of visual system	182	171	$130.61	$117.81
92082 Exam of visual field with intermediate testing	166	161	$51.56	$45.55
67875 Temporary closure of eyelids by suture	100	90	$212.69	$51.16
67904 Repair of tendon of upper eyelid	90	83	$1136.53	$706.79
15823 Removal of excessive skin and fat of upper eyelid	69	66	$1289.81	$722.86
64612 Injection of chemical for paralysis of nerve muscles on side of face	58	20	$267.53	$173.37
67840 Removal of eyelid growth	55	50	$305.82	$241.94
68840 Probing of nasal-tear duct	55	55	$219.86	$152.42
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	53	51	$904.58	$553.14
67820 Removal of eyelashes using forceps	53	32	$71.04	$48.73
67950 Enlargement of eyelid margin	50	44	$727.92	$376.91
67914 Suture repair of a turning-outward defect of upper or lower eyelid	37	32	$637.71	$180.68
67924 Extensive repair of turning-inward eyelid defect	24	22	$691.13	$258.22
68815 Probing of nasal-tear duct with insertion of tube or stent	23	23	$641.75	$125.36
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	23	19	$1094.98	$817.08
67840 Removal of eyelid growth	22	22	$339.34	$90.45
92002 New patient problem focused exam of visual system	22	22	$85.40	$76.92
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$90.92	$63.44
68440 Snip incision of tear-drainage opening at inner corner of the eye	19	17	$146.98	$57.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	18	18	$7.40	$6.66
68720 Creation of drainage tract from tear sac to the nasal cavity	16	16	$1246.96	$822.86
67900 Repair of brow paralysis	14	14	$970.63	$326.71
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	13	13	$178.47	$149.06
92133 Imaging of optic nerve	13	11	$39.58	$35.48
68200 Injection into conjunctiva	13	13	$44.08	$19.86
67810 Biopsy of eyelid	12	11	$180.38	$162.71
68110 Removal of (up to 1 centimeter) growth of sclera	12	12	$235.67	$203.93
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	11	11	$1040.67	$606.86

Medical Specialties & State Licenses

CMS Verified: 2020-05-19

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036117645

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036117645 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

1025 S 6th St, Springfield, IL 627032403

Phone: 2175287541

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2008

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041 (Tel: 2175287541)

📍

Updated Business Mailing Address August 28, 2008

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated August 28, 2008

Recorded as GRANT SU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2008

Ophthalmology (License #036117645 in IL)

🟢

Initial NPI Registration & Enumeration November 04, 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: 1386723781

Entity Type:

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

Enumeration Date: November 04, 2006

Last Update: May 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.