SETH LERNER, M.D.
Urology Physician · WHITE PLAINS, NY
Individual Active NPI 1124160312
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,174 | 17,770 | $2,305,815 | $652,077 | $500,319 |
| 2023 | 1,237 | 13,402 | $2,246,539 | $622,209 | $473,299 |
| 2022 | 1,166 | 11,234 | $1,963,770 | $555,258 | $418,482 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J9155 | Injection, degarelix, 1 mg | 6,880 | $4 | $3 |
| 36415 | Insertion of needle into vein for collection of blood sample | 986 | $9 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 842 | $103 | $71 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 354 | $179 | $139 |
| 81003 | Automated urinalysis test | 283 | $2 | $2 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 270 | $146 | $99 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 239 | $279 | $212 |
| 96402 | Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | 200 | $41 | $30 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 124 | $128 | $89 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 120 | $204 | $159 |
| 96372 | Injection of drug or substance under skin or into muscle | 62 | $16 | $12 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 58 | $65 | $44 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 183915 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.