DAVID SOMERMAN, DO
Nephrology Physician · LANCASTER, PA
Individual Active NPI 1255586178
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 565 | 1,558 | $402,882 | $172,700 | $130,664 |
| 2023 | 572 | 1,354 | $383,554 | $165,334 | $124,771 |
| 2022 | 606 | 3,863 | $415,399 | $184,999 | $141,831 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 341 | $97 | $63 |
| 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 | 312 | $16 | $12 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 288 | $74 | $59 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 150 | $334 | $265 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 98 | $123 | $98 |
| 90966 | Home dialysis services per month (20 years or older) | 53 | $273 | $218 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 50 | $133 | $91 |
| 81003 | Automated urinalysis test | 37 | $2 | $2 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 | $158 | $108 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | $112 | $89 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | $86 | $60 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 23 | $278 | $221 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | OS016391 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — | |
| Nephrology Physician | 207RN0300X | 25MB08851100 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MB08851100 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Pennsylvania
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- NPI 1386770501
- NPI 1912959107
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.