DAVID SOMMERFELD, M.D.
Nephrology Physician · SPRINGFIELD, MO
Individual Active NPI 1063509404
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 385 | 1,396 | $519,236 | $196,751 | $150,219 |
| 2023 | 444 | 1,550 | $612,359 | $231,080 | $176,425 |
| 2022 | 467 | 1,497 | $637,466 | $243,454 | $185,254 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 238 | $72 | $56 |
| 90966 | Home dialysis services per month (20 years or older) | 193 | $264 | $199 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 154 | $317 | $250 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 140 | $83 | $52 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 116 | $15 | $12 |
| 90935 | Hemodialysis procedure with physician evaluation | 94 | $64 | $50 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 88 | $271 | $212 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | $108 | $84 |
| 90945 | Dialysis procedure including 1 evaluation | 59 | $76 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $154 | $119 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 35 | $77 | $51 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | $119 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 113752 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Missouri
- NPI 1912223298
- NPI 1619186301
- NPI 1447332945
- NPI 1396788261
- NPI 1720010051
- NPI 1518285261
- NPI 1467644286
- NPI 1376585257
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.