Active NPI 1063404259 Individual Practitioner Male Practitioner

Dr. Custodio L. Lim , MD

Surgery • Terre Haute, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Custodio Lim, MD is a certified Surgery practicing in Terre Haute, IN. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Lim delivers high-quality medical care to the local community at 2235 WABASH AVE.

Dr. Lim accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2235 Wabash Ave

Terre Haute, IN 478073330

Telephone 8122345273

Fax 8122324714

Associated Practice Facility / Clinic

🏢 Terre Haute Endocrinology And Diabetes Llc Facility NPI 1528862588

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Terre Haute, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +25.1 yrs vs City Avg

City Avg: 25.9 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Terre Haute, IN (657 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lim (51 Years) 51 Yrs

Terre Haute Specialty Average (25.9 Years) 25.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	195	139	$300.00	$87.56
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	128	97	$500.00	$211.11
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	107	75	$300.00	$55.64
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	104	84	$300.00	$100.39
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	102	74	$403.92	$136.96
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	99	87	$300.00	$127.69
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	94	76	$200.00	$66.36
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	76	61	$498.68	$170.85
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	76	65	$300.00	$69.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	68	53	$498.53	$152.35
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	60	54	$300.00	$90.79
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	57	49	$400.00	$112.79
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	50	41	$200.00	$44.81
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	50	37	$410.00	$101.42
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	46	37	$400.00	$144.14
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	41	35	$312.20	$70.84
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	40	36	$200.00	$75.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	29	$391.00	$102.21
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	26	$400.00	$114.21
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	27	26	$200.00	$56.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	19	$517.39	$159.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$80.00	$48.81
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$200.00	$68.11
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$125.00	$62.99
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	11	11	$800.00	$209.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	194	144	$300.00	$95.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	134	97	$300.00	$63.52
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	125	91	$475.20	$229.68
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	100	80	$298.33	$99.02
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	100	84	$200.00	$71.99
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	97	82	$300.00	$145.41
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	91	68	$401.10	$152.53
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	70	53	$300.00	$72.32
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	64	57	$300.00	$107.84
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	59	47	$484.75	$150.71
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	57	48	$200.00	$48.75
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	44	$469.64	$173.86
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	56	43	$400.00	$115.52
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	49	42	$400.00	$159.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	35	$402.08	$102.34
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	38	$372.09	$124.67
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	42	40	$200.00	$82.25
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	27	$403.57	$122.15
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	27	24	$300.00	$76.81
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	27	24	$200.00	$63.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$80.00	$52.44
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$373.33	$127.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$564.29	$242.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	209	132	$300.00	$93.20
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	158	99	$500.00	$228.20
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	140	103	$300.00	$109.73
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	136	95	$300.00	$63.62
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	115	81	$400.87	$149.21
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	103	82	$300.00	$130.34
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	92	72	$200.00	$72.40
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	86	60	$500.00	$168.19
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	86	73	$300.00	$106.61
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	85	68	$300.00	$82.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	77	53	$500.00	$158.18
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	69	49	$400.00	$112.55
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	69	55	$400.00	$126.26
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	67	55	$200.00	$48.72
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	57	43	$401.75	$117.87
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	51	40	$400.00	$164.26
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	45	41	$200.00	$60.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	29	$80.00	$52.66
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	39	33	$307.69	$77.29
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	38	36	$200.00	$85.73
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	20	$400.00	$124.96
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	19	$200.00	$74.91
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	14	$600.00	$259.73
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	17	16	$400.00	$144.01
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	17	15	$317.65	$76.56
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$200.00	$50.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$507.14	$178.49
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	13	12	$400.00	$154.62
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$400.00	$146.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	180	130	$300.00	$97.74
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	138	116	$300.00	$139.90
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	129	99	$300.00	$62.32
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	110	91	$300.00	$108.78
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	110	88	$300.00	$111.74
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	91	69	$300.00	$79.68
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	90	74	$200.00	$74.30
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	83	60	$500.00	$239.15
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	82	58	$400.00	$155.42
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	70	62	$200.00	$84.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	65	44	$500.00	$175.22
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	63	59	$200.00	$48.99
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	61	49	$500.00	$190.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	37	$400.00	$124.95
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	45	44	$200.00	$62.57
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	45	39	$400.00	$157.23
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	36	$400.00	$137.82
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	35	$302.50	$83.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	27	$80.00	$52.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	27	$400.00	$114.93
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	25	$400.00	$105.83
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	21	$200.00	$75.62
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	18	$400.00	$130.77
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$125.00	$68.46
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	15	12	$400.00	$123.14
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	15	$1000.00	$285.68
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	11	$308.33	$86.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	217	140	$300.00	$94.70
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	140	120	$300.00	$136.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	132	95	$300.00	$62.81
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	119	80	$500.00	$216.61
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	114	93	$200.00	$69.82
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	111	92	$300.00	$108.76
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	99	85	$300.00	$103.29
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	80	74	$300.00	$86.51
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	78	61	$400.00	$160.95
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	67	49	$500.00	$179.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	43	$80.00	$41.20
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	59	52	$200.00	$78.11
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	57	49	$200.00	$47.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	48	36	$402.08	$118.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	41	$500.00	$177.92
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	45	44	$200.00	$60.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	36	$404.76	$118.85
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	32	29	$400.00	$131.30
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	27	$400.00	$145.75
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$308.33	$79.87
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	22	$400.00	$116.58
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	23	$200.00	$78.43
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.00	$69.24
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	13	$400.00	$128.51
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$200.00	$50.01
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	14	$986.67	$290.39
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	14	14	$400.00	$133.40
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$600.00	$239.29
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	11	$400.00	$173.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	270	175	$300.00	$93.95
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	176	126	$300.00	$63.80
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	146	106	$500.00	$221.91
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	144	115	$200.00	$67.94
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	142	119	$300.00	$133.60
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	138	110	$300.00	$102.71
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	117	92	$300.00	$78.75
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	115	103	$300.00	$109.71
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	108	77	$400.00	$153.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	55	$80.00	$40.91
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	79	69	$200.00	$46.71
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	68	65	$200.00	$79.77
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	60	50	$500.00	$169.88
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	44	$401.75	$116.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	43	$498.11	$185.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	51	41	$400.00	$118.04
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	51	47	$200.00	$61.77
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	49	42	$400.00	$152.95
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	38	$316.28	$84.32
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	36	$397.67	$117.94
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	38	$400.00	$129.03
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$124.00	$68.24
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	21	$200.00	$71.24
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	19	13	$400.00	$135.50
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$200.00	$49.89
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	12	$400.00	$158.76
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	12	$325.00	$78.97
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$400.00	$120.47
10060 Simple or single drainage of skin abscess	12	11	$250.00	$103.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	269	181	$299.63	$90.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	184	128	$299.46	$58.47
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	182	117	$498.35	$206.12
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	174	134	$300.00	$127.23
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	135	88	$430.37	$143.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	79	$80.00	$38.79
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	118	96	$298.31	$95.49
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	114	97	$300.00	$100.00
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	111	92	$200.00	$66.18
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	109	86	$300.00	$75.14
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	74	50	$497.30	$151.16
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	72	62	$200.00	$44.10
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	72	64	$200.00	$80.00
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	65	60	$396.92	$144.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	65	50	$500.00	$159.30
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	63	53	$400.00	$119.76
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	54	44	$431.48	$107.99
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	54	47	$398.15	$111.81
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	50	47	$200.00	$61.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	39	$432.00	$102.87
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$125.00	$66.33
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	34	$327.50	$77.68
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	26	26	$800.00	$208.16
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	22	$200.00	$74.95
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	21	$521.74	$169.68
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	22	21	$1000.00	$275.13
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	20	19	$400.00	$135.58
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$580.00	$243.21
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	19	18	$347.37	$93.80
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	19	17	$515.79	$198.24
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	18	16	$533.33	$182.97
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	17	$200.00	$48.54
11423 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	15	14	$400.00	$115.14
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$333.33	$88.24
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$583.33	$269.46
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	12	$575.00	$263.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	207	144	$300.00	$89.42
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	181	128	$300.00	$62.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	119	$80.00	$37.77
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	155	104	$500.00	$206.21
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	149	126	$300.00	$126.38
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	134	91	$498.51	$144.34
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	123	99	$300.00	$87.88
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	116	98	$200.00	$65.84
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	101	89	$300.00	$100.47
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	81	76	$200.00	$45.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	81	65	$500.00	$162.67
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	70	65	$200.00	$77.12
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	68	60	$300.00	$81.12
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	63	44	$496.83	$117.02
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	59	45	$498.31	$114.11
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	53	44	$400.00	$122.86
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	50	49	$398.00	$80.04
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	49	44	$497.96	$157.57
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$125.00	$65.88
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	46	43	$200.00	$60.01
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	38	$400.00	$149.56
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	35	32	$200.00	$74.77
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	30	$400.00	$101.88
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	28	26	$400.00	$106.45
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	22	$200.00	$48.57
45380 Biopsy of large bowel using an endoscope	19	19	$1500.00	$182.39
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	19	18	$600.00	$204.03
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	17	17	$400.00	$85.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	16	$593.75	$231.41
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	13	$400.00	$120.27
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	15	12	$400.00	$138.40
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	13	$585.71	$278.26
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	12	$400.00	$70.90

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01035522

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100251710A (IN)

Commercial Insurance / Payer ID Bc/bs Provider No.

000000087131 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Edward Rico , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1477739423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2017

Registered at 2235 WABASH AVE, TERRE HAUTE, IN 478073330 (Tel: 8122345273)

📍

Updated Business Mailing Address September 15, 2017

Registered at 2235 WABASH AVE, TERRE HAUTE, IN 478073330 (Tel: 8122345273)

👤

Provider Name / Credentials Updated September 15, 2017

Recorded as CUSTODIO LIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Surgery (License #01035522 in IN)

✅

NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2011

Registered at 2235 WABASH AVE, TERRE HAUTE, IN 478073330 (Tel: 8122345273)

📍

Updated Business Mailing Address December 13, 2011

Registered at 2235 WABASH AVE, TERRE HAUTE, IN 478073330 (Tel: 8122345273)

👤

Provider Name / Credentials Updated December 13, 2011

Recorded as CUSTODIO LIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Surgery (License #01035522 in IN)

🟢

Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1063404259

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 16, 2005

Last Update: September 15, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2235 Wabash Ave

Terre Haute, IN 478073330

Phone: 8122345273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.