EDWARD LAKE, MD
Nephrology Physician · OSHKOSH, WI
Individual Active NPI 1336131101
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 127 | 4,424 | $702,840 | $110,550 | $86,770 |
| 2023 | 161 | 7,087 | $711,765 | $125,424 | $99,018 |
| 2022 | 134 | 8,456 | $668,801 | $121,144 | $95,575 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 155 | $302 | $240 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 120 | $110 | $87 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 77 | $169 | $124 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 73 | $4 | $4 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | $160 | $127 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 33 | $30 | $24 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 26 | $252 | $200 |
| 99291 | Critical care, first 30-74 minutes | 22 | $194 | $155 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 16 | $205 | $138 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 29465 | WI |
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.