Active NPI 1457327744 Individual Practitioner Male Practitioner

Dr. Richard J Lubera , MD

Internal Medicine • Warren, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Lubera, MD is a certified Internal Medicine practicing in Warren, MI. With approximately 67 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1959, Dr. Lubera delivers high-quality medical care to the local community at 12296 E 12 MILE RD.

Dr. Lubera is affiliated with Pioneer Medical Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12296 E 12 Mile Rd

Warren, MI 480933516

Telephone 5867515720

Fax 5867512206

Associated Practice Facility / Clinic

🏢 Macomb Internal Med Ctr Pc Facility NPI 1568671550

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1959

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warren, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

67 Yrs +45.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

100 Specialists

Practicing in Warren, MI (6010 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lubera (67 Years) 67 Yrs

Warren Specialty Average (22.0 Years) 22.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	100	53	$100.00	$91.28
93000 Routine ekg using at least 12 leads including interpretation and report	46	45	$50.00	$14.41
71046 X-ray of chest, 2 views	46	45	$53.04	$33.25
36415 Insertion of needle into vein for collection of blood sample	43	34	$6.00	$5.88
84550 Uric acid level, blood	36	34	$15.00	$4.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	33	$25.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	34	33	$30.00	$10.35
83735 Magnesium level	33	33	$20.00	$6.57
84100 Phosphate level	33	33	$15.00	$4.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$150.00	$128.45
84443 Blood test, thyroid stimulating hormone (TSH)	26	25	$30.00	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$150.00	$129.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	62	$100.00	$91.60
71046 X-ray of chest, 2 views	58	56	$50.00	$34.09
36415 Insertion of needle into vein for collection of blood sample	56	46	$5.71	$5.60
93000 Routine ekg using at least 12 leads including interpretation and report	56	55	$50.00	$14.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	31	$150.00	$129.22
84550 Uric acid level, blood	47	45	$15.00	$4.43
83735 Magnesium level	46	45	$20.00	$6.57
80053 Blood test, comprehensive group of blood chemicals	46	45	$30.00	$10.35
84100 Phosphate level	46	45	$15.00	$4.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	46	44	$25.00	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	36	34	$30.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	36	35	$30.00	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$150.00	$129.71
83036 Hemoglobin A1C level	23	21	$25.00	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	11	$35.00	$14.17
G0008 Administration of influenza virus vaccine	18	18	$35.00	$31.25
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$79.12	$75.21
84439 Thyroxine (thyroid chemical), free	13	13	$25.00	$8.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	67	$100.00	$94.21
36415 Insertion of needle into vein for collection of blood sample	64	45	$5.00	$2.92
93000 Routine ekg using at least 12 leads including interpretation and report	59	59	$50.00	$14.74
71046 X-ray of chest, 2 views	56	56	$50.00	$34.96
80061 Blood test, lipids (cholesterol and triglycerides)	48	41	$30.00	$12.95
80053 Blood test, comprehensive group of blood chemicals	46	42	$30.00	$10.21
83735 Magnesium level	46	42	$20.00	$6.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$150.00	$135.07
84100 Phosphate level	46	42	$15.00	$4.68
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	46	43	$25.00	$7.50
84550 Uric acid level, blood	46	42	$15.00	$4.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	33	$150.00	$132.45
83036 Hemoglobin A1C level	29	21	$25.00	$9.28
84443 Blood test, thyroid stimulating hormone (TSH)	26	26	$30.00	$15.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	11	$35.00	$14.73
G0008 Administration of influenza virus vaccine	18	18	$32.78	$26.38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$72.50	$59.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	76	$99.70	$91.90
36415 Insertion of needle into vein for collection of blood sample	108	64	$5.00	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	81	75	$50.00	$14.92
71046 X-ray of chest, 2 views	75	73	$50.00	$33.41
80061 Blood test, lipids (cholesterol and triglycerides)	74	55	$30.00	$13.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	50	$150.00	$128.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	69	56	$25.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	63	58	$30.00	$10.56
84550 Uric acid level, blood	62	56	$15.00	$4.52
84100 Phosphate level	60	56	$15.00	$4.74
83735 Magnesium level	59	56	$20.00	$6.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$150.00	$130.84
83036 Hemoglobin A1C level	46	31	$25.00	$9.71
84443 Blood test, thyroid stimulating hormone (TSH)	42	37	$30.00	$16.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	14	$35.00	$14.06
81000 Manual urinalysis test with examination using microscope, non-automated	22	17	$10.00	$4.02
82947 Blood glucose (sugar) level	21	17	$15.00	$3.93
G0008 Administration of influenza virus vaccine	20	20	$30.00	$17.28
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$35.00	$35.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	80	$90.00	$77.73
99442 Telephone medical discussion with physician, 11-20 minutes	111	60	$66.04	$62.03
36415 Insertion of needle into vein for collection of blood sample	109	77	$5.00	$2.93
80061 Blood test, lipids (cholesterol and triglycerides)	78	64	$30.00	$13.16
71046 X-ray of chest, 2 views	75	71	$48.87	$33.80
93000 Routine ekg using at least 12 leads including interpretation and report	73	69	$50.00	$17.90
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	71	65	$25.00	$7.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	54	$150.00	$113.42
80053 Blood test, comprehensive group of blood chemicals	64	61	$30.00	$10.35
83735 Magnesium level	63	61	$20.00	$6.67
84550 Uric acid level, blood	63	61	$15.00	$4.50
84100 Phosphate level	62	60	$15.00	$4.72
83036 Hemoglobin A1C level	52	38	$25.00	$9.67
84443 Blood test, thyroid stimulating hormone (TSH)	50	46	$30.00	$16.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$150.00	$120.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$175.00	$153.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	16	$100.00	$55.55
G0008 Administration of influenza virus vaccine	26	26	$30.00	$17.06
82947 Blood glucose (sugar) level	25	20	$15.00	$3.75
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$25.00	$18.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	16	11	$125.00	$112.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	823	635	$59.00	$8.85
99213 Established patient office or other outpatient visit, typically 15 minutes	247	95	$90.00	$76.10
85610 Blood test, clotting time	104	13	$13.37	$4.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	64	$143.04	$110.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	22	$128.56	$107.51
93000 Routine ekg using at least 12 leads including interpretation and report	89	83	$63.44	$17.32
71046 X-ray of chest, 2 views	86	76	$60.50	$32.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	76	$175.00	$149.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	18	$117.09	$75.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	24	$38.56	$16.57
36415 Insertion of needle into vein for collection of blood sample	47	39	$5.00	$2.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	12	$45.00	$22.81
G0008 Administration of influenza virus vaccine	42	42	$29.93	$16.73
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	35	15	$149.29	$110.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	19	$245.31	$210.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	25	$25.00	$8.46
99239 Hospital discharge day management, more than 30 minutes	29	19	$206.55	$110.28
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$25.00	$17.48
99285 Emergency department visit for life threatening or functioning severity	23	16	$300.00	$181.84
80061 Blood test, lipids (cholesterol and triglycerides)	23	22	$30.00	$14.58
84100 Phosphate level	22	22	$15.00	$5.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	17	$100.00	$54.42
83735 Magnesium level	22	22	$20.00	$7.29
80053 Blood test, comprehensive group of blood chemicals	21	21	$30.00	$11.51
84550 Uric acid level, blood	21	21	$15.00	$4.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$160.00	$141.76
83036 Hemoglobin A1C level	17	17	$25.00	$9.95
J1040 Injection, methylprednisolone acetate, 80 mg	15	12	$25.00	$11.48
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	14	14	$25.00	$17.88
84443 Blood test, thyroid stimulating hormone (TSH)	12	12	$30.00	$18.30
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$10.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	899	699	$59.00	$8.44
99213 Established patient office or other outpatient visit, typically 15 minutes	242	121	$90.00	$70.35
85610 Blood test, clotting time	137	16	$15.00	$4.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	28	$130.00	$101.58
71046 X-ray of chest, 2 views	121	110	$75.79	$28.97
93000 Routine ekg using at least 12 leads including interpretation and report	120	108	$76.00	$16.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	74	$140.00	$103.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	114	13	$45.00	$20.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	111	$175.14	$140.09
G0008 Administration of influenza virus vaccine	67	67	$27.00	$20.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	28	$40.00	$19.51
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	62	23	$150.00	$104.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	45	18	$10.00	$1.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	14	$121.33	$70.97
99285 Emergency department visit for life threatening or functioning severity	43	29	$300.00	$171.16
90756 Vaccine for influenza for injection into muscle	40	40	$30.00	$22.33
99239 Hospital discharge day management, more than 30 minutes	35	24	$180.00	$104.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	20	$160.00	$134.16
90662 Influenza vaccine split virus, preservative free	26	26	$60.00	$52.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$100.00	$51.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	17	$240.00	$198.22
94010 Test to measure expiratory airflow and volume	19	19	$75.00	$34.22
99220 Hospital observation care, typically 70 minutes	18	16	$260.00	$181.62
81002 Urinalysis, manual test	17	14	$8.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	920	709	$59.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	380	161	$90.00	$71.35
85610 Blood test, clotting time	207	17	$15.00	$5.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	201	41	$130.00	$102.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	195	20	$45.00	$19.56
71020 X-ray of chest, 2 views, front and side	158	139	$76.00	$27.19
93000 Routine ekg using at least 12 leads including interpretation and report	139	132	$76.00	$16.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	128	$175.11	$141.74
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	92	36	$150.00	$105.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	21	$120.00	$70.92
G0008 Administration of influenza virus vaccine	86	85	$27.00	$25.35
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	71	71	$30.00	$23.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	28	$40.00	$24.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	42	$140.00	$104.76
99239 Hospital discharge day management, more than 30 minutes	49	34	$180.00	$105.34
99285 Emergency department visit for life threatening or functioning severity	44	30	$300.00	$172.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	30	$160.00	$135.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	30	$100.00	$52.57
94010 Test to measure expiratory airflow and volume	34	34	$75.00	$34.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	27	$240.00	$199.84
J1040 Injection, methylprednisolone acetate, 80 mg	22	15	$25.00	$11.12
69210 Removal of impacted ear wax	15	11	$79.00	$48.47
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	11	$80.00	$40.37
90662 Influenza vaccine split virus, preservative free	14	14	$60.00	$48.05
99220 Hospital observation care, typically 70 minutes	13	12	$260.00	$182.56
99496 Transitional care management services for problem of high complexity	12	11	$250.00	$224.46

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301024564

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2724850 (MI)

Commercial Insurance / Payer ID Rr Medicare

B44001 (MI)

Commercial Insurance / Payer ID Blue Cross

0501632 (MI)

Hospital & Practice Group Affiliations

Pioneer Medical Associates Pc

27540 Hoover Rd, Warren, MI 480934505

Phone: 5867546797

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2011

Registered at 12296 E 12 MILE RD, WARREN, MI 480933516 (Tel: 5867515720)

📍

Updated Business Mailing Address April 05, 2011

Registered at 12296 E 12 MILE RD, WARREN, MI 480933516 (Tel: 5867515720)

👤

Provider Name / Credentials Updated April 05, 2011

Recorded as RICHARD LUBERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2011

Internal Medicine (License #4301024564 in MI)

🟢

Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457327744

Entity Type:

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

Enumeration Date: February 27, 2006

Last Update: April 05, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12296 E 12 Mile Rd

Warren, MI 480933516

Phone: 5867515720

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

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