EDWARD CLEMMONS, DO
Sleep Medicine (Internal Medicine) Physician · AMES, IA
Individual Active NPI 1518252014
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,100 | 2,060 | $396,788 | $172,509 | $125,708 |
| 2023 | 980 | 1,621 | $353,667 | $157,969 | $115,660 |
| 2022 | 909 | 1,608 | $341,717 | $158,059 | $115,057 |
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 | 366 | $84 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 360 | $118 | $86 |
| 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 | 292 | $15 | $12 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 254 | $41 | $29 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 176 | $112 | $86 |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 110 | $56 | $42 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 88 | $154 | $117 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 55 | $167 | $121 |
| 95908 | Nerve conduction, 3-4 studies | 55 | $103 | $71 |
| 95810 | Sleep study in sleep lab (6 years or older) | 53 | $108 | $83 |
| 95910 | Nerve conduction, 7-8 studies | 53 | $161 | $117 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 50 | $88 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 04668 | IA |
| Neurology Physician | 2084N0400X | R-9199 | IA |
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.