ERNESTO GUTIERREZ, MD
Rheumatology Physician · LEBANON, PA
Individual Active NPI 1255330718
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 871 | 112,588 | $2,732,603 | $1,607,245 | $1,259,772 |
| 2023 | 690 | 71,538 | $1,694,738 | $1,046,048 | $819,292 |
| 2022 | 650 | 26,157 | $954,126 | $621,647 | $482,602 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3262 | Injection, tocilizumab, 1 mg | 42,760 | $5 | $4 |
| 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) | 28,600 | $5 | $4 |
| J0897 | Injection, denosumab, 1 mg | 12,540 | $25 | $20 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 10,290 | $11 | $8 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 4,560 | $29 | $23 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,111 | $119 | $83 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 996 | $66 | $48 |
| J9250 | Methotrexate sodium, 5 mg | 760 | $0 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 339 | $34 | $25 |
| 73630 | X-ray of foot, minimum of 3 views | 314 | $31 | $22 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 303 | $26 | $19 |
| 96372 | Injection of drug or substance under skin or into muscle | 287 | $13 | $10 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | MD428609 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Rheumatology Physician providers in Pennsylvania
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.