JEROME MERKEL, MD
Family Medicine Physician · MAPLE GROVE, MN
Individual Active NPI 1861438228
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 314 | 21,798 | $815,525 | $364,074 | $291,393 |
| 2023 | 312 | 14,297 | $592,869 | $271,677 | $215,231 |
| 2022 | 379 | 30,736 | $999,180 | $486,013 | $385,165 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 8,800 | $5 | $4 |
| J0897 | Injection, denosumab, 1 mg | 1,500 | $26 | $21 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 1,200 | $42 | $34 |
| 36415 | Insertion of needle into vein for collection of blood sample | 299 | $9 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 279 | $124 | $86 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 211 | $8 | $8 |
| 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 | 143 | $16 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 134 | $88 | $55 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 131 | $13 | $13 |
| 83036 | Hemoglobin a1c level | 102 | $9 | $9 |
| 85610 | Blood test, clotting time | 91 | $4 | $4 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 86 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 36365 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Minnesota
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- NPI 1710979489
- NPI 1568453926
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.