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NPI 1063404259 · Terre Haute, IN · Surgery Physician
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Custodio Lim is a surgery physician provider located in Terre Haute, Indiana. This profile covers 13 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Custodio Lim |
| Address | 2235 Wabash Ave |
| City | Terre Haute |
| State | IN |
| ZIP | 47807 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | August 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $131.9K |
| Medicaid | $14K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11642 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips. | 220 | $150 | $31.3K |
| 11402 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 330 | $60 | $20.7K |
| 11442 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple… | 160 | $100 | $15.3K |
| 11622 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs). | 120 | $100 | $11.8K |
| 11422 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals. | 170 | $70 | $11.4K |
| 11602 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs. | 100 | $100 | $10.5K |
| 11403 | The provider excises a noncancerous lesion, excluding a skin tag, of 2.1 to 3.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 80 | $110 | $8.7K |
| 11401 | The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 160 | $50 | $7.8K |
| 11641 | The provider excises a cancerous (malignant) lesion, including margins, of 0.6 to 1.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips. | 70 | $80 | $5.8K |
| 11441 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.6 to 1.0 cm in diameter and also performs a simple… | 70 | $60 | $4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11402 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 230 | $50 | $11.4K |
| 11442 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple… | 10 | $110 | $1.3K |
| 11422 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals. | 20 | $70 | $1K |
| 11401 | The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 10 | $30 | $330 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 11402 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 1 | 10 | 230 | $50 | $11.4K |
| 11442 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple… | 1 | 10 | 10 | $110 | $1.3K |
| 11422 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals. | 1 | 10 | 20 | $70 | $1K |
| 11401 | The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 1 | 10 | 10 | $20 | $320 |
Other providers in the same ZIP code as Custodio Lim, ranked by combined Medicare and Medicaid revenue.
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