ANDREW MERMELSTEIN, MD
Rheumatology Physician · EAST NORRITON, PA
Individual Active NPI 1215920335
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 956 | 99,931.1 | $2,272,374 | $1,336,713 | $1,044,492 |
| 2023 | 866 | 173,074 | $3,612,079 | $2,036,579 | $1,597,539 |
| 2022 | 789 | 159,195.8 | $3,325,699 | $2,000,627 | $1,570,497 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 38,000 | $5 | $4 |
| J3262 | Injection, tocilizumab, 1 mg | 24,679.5 | $6 | $5 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 9,870 | $11 | $9 |
| J0897 | Injection, denosumab, 1 mg | 9,180 | $26 | $21 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 6,290.6 | $11 | $9 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 4,600 | $43 | $34 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 2,740 | $31 | $25 |
| 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 | 861 | $16 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 683 | $126 | $88 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 521 | $90 | $63 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 288 | $1 | $1 |
| 96372 | Injection of drug or substance under skin or into muscle | 266 | $14 | $11 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | MD061891L | PA |
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.