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    OpenPayerNPI Medicare & MedicaidRobert Lerner
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    Robert Lerner — Billing Profile & Reimbursement Data

    NPI 1295783181 · Mobile, AL · Gastroenterology Physician

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    Robert Lerner is a gastroenterology physician provider located in Mobile, Alabama. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Lerner
    Address1700 Springhill Ave
    CityMobile
    StateAL
    ZIP36604
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$94.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…140$110$14.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$190$13.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…130$90$11.8K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.100$90$8.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$7.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$120$6.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$160$5.1K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$120$4.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$170$4.3K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.60$70$3.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857221050$240$18.2K
    992143,3727,330120$80$16.8K
    992322,5122,530100$60$13.3K
    80053567670140$10$13.1K
    432491010030$220$11.5K
    453807119040$160$11K
    4323912924050$100$9.4K
    G01056513030$230$8.4K
    992134,1306,47080$50$7.9K
    G0121179020$230$5.8K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Robert Lerner, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Medical Group IncTNInternal Medicine Physician$0$35.6M
    Mobile Infirmary AssociationALGeneral Acute Care Hospital$0$4.6M
    William SullivanALRheumatology Physician$1.6M$0
    Usa Health Physician Billing Services LLCALPediatric Cardiology Physician$0$1.6M
    Alan FranklinALRetina Specialist (Ophthalmology) Physician$1.2M$0
    Imc-diagnostic And Medical Clinic LLCALInternal Medicine Physician$0$1.1M
    Ray MclaughlinALRheumatology Physician$875.9K$0
    Clifford TillmanLAGastroenterology Physician$439.4K$268.7K
    Robert PercyALPulmonary Disease Physician$384.3K$0
    Mina JacobALVascular Surgery Physician$325.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Robert Lerner, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Usa Health Physician Billing Services LLCALNeonatal-Perinatal Medicine Physician$0$28.2M
    University Of South AlabamaALChildren's Hospital$0$24.8M
    University Of South AlabamaALNeonatal-Perinatal Medicine Physician$0$11.6M
    Usa Health Physician Billing Services LLCALPediatrics Physician$0$11M
    University Of South AlabamaALCase Management Agency$0$8M
    Usa Health Physician Billing Services LLCALObstetrics & Gynecology Physician$0$6.3M
    University Of South AlabamaALObstetrics & Gynecology Physician$0$4M
    University Of South AlabamaALPediatrics Physician$0$3.4M
    Usa Health Physician Billing Services LLCALOrthopaedic Surgery Physician$0$2.6M
    Usa Health Physician Billing Services LLCALHospitalist Physician$0$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Robert Lerner — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama