ROBERT SOMMER, M.D.
Adult Congenital Heart Disease Physician · NEW YORK, NY
Individual Active NPI 1316954514
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 142 | 370 | $635,590 | $113,454 | $89,711 |
| 2023 | 153 | 377 | $681,970 | $117,194 | $92,342 |
| 2022 | 158 | 365 | $553,180 | $109,698 | $85,969 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 58 | $106 | $75 |
| 93662 | Ultrasound evaluation of heart blood vessel with review by radiologist | 57 | $79 | $64 |
| 33340 | Repair of left upper heart chamber with implant with review by radiologist | 45 | $930 | $746 |
| 93303 | Ultrasound of heart for congenital defect | 40 | $262 | $207 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 34 | $262 | $206 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 27 | $14 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 | $148 | $114 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $200 | $155 |
| 93580 | Repair of congenital abnormality in wall between upper heart chambers with implant | 23 | $1,170 | $936 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Congenital Heart Disease Physician | 207RA0002X | ✓ | 166675 | NY |
| Cardiovascular Disease Physician | 207RC0000X | 166675 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
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See all Adult Congenital Heart Disease Physician providers in New York →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.