EDGAR LERMA, M.D.
Nephrology Physician · EVERGREEN PARK, IL
Individual Active NPI 1841279981
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 2,772 | $612,742 | $215,623 | $167,221 |
| 2023 | 255 | 2,757 | $638,866 | $241,739 | $190,251 |
| 2022 | 312 | 2,945.7 | $496,769 | $271,997 | $213,498 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 1,011 | $9 | $7 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 348 | $9 | $7 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 326 | $116 | $91 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 226 | $77 | $61 |
| 90935 | Hemodialysis procedure with physician evaluation | 183 | $68 | $54 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 183 | $342 | $269 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 108 | $84 | $52 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 94 | $167 | $132 |
| 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 | 82 | $16 | $12 |
| 90966 | Home dialysis services per month (20 years or older) | 68 | $284 | $221 |
| 90966 | Home dialysis services per month (20 years or older) | 47 | $284 | $223 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 036097893 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Illinois
- NPI 1255356689
- NPI 1306879929
- NPI 1063670719
- NPI 1285941153
- NPI 1508899105
- NPI 1205869815
- NPI 1033514625
- NPI 1245792175
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.