EFREM GEBREMEDHIN, M.D
Endocrinology, Diabetes & Metabolism Physician · FOLSOM, CA
Individual Active NPI 1649458803
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 729 | 17,651 | $1,872,127 | $533,104 | $412,030 |
| 2023 | 665 | 21,117 | $1,730,504 | $519,960 | $401,283 |
| 2022 | 529 | 6,257 | $838,689 | $267,076 | $204,082 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 7,080 | $26 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,086 | $141 | $105 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 354 | $36 | $27 |
| 83036 | Hemoglobin a1c level | 300 | $9 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 262 | $194 | $145 |
| 96372 | Injection of drug or substance under skin or into muscle | 173 | $16 | $13 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 148 | $182 | $136 |
| 99091 | Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 22 | $58 | $47 |
| 95117 | Professional service for multiple injections of allergen | 17 | $14 | $7 |
| 95249 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin | 16 | $72 | $51 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | A100766 | CA |
| Internal Medicine Physician | 207R00000X | A100766 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 04-34460 | KS |
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.